James Allan Altschafl, DDS

Individual provider Active NPI Pediatric Dentistry · Menomonee Falls, WI

NPI 1285759407 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1285759407
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Dentistry 1223P0221X
License
1650G (WI)
Practice address
W178 N9201 Watertown Place
Suite 100
Menomonee Falls, WI 53051
Phone
(262) 251-8704
Fax
(262) 251-8341
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1650GWIMDPediatric Dentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 1650G WI Yes

Addresses

Primary practice location

W178 N9201 Watertown Place
Suite 100
Menomonee Falls, WI 53051

Mailing address

W178 N9201 Watertown Place
Suite 100
Menomonee Falls, WI 53051
Phone (262) 251-8704

Other providers in Menomonee Falls, WI

All providers in Menomonee Falls, WI · Pediatric Dentistry in Wisconsin

Sources for this page

Verify at the official NPI Registry.