Emergency Dental of Milwaukee, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4186 Issued in WI

Legal business name

EMERGENCY DENTAL OF MILWAUKEE, LLC

Practice address

1469 S 70TH St
West Allis, WI 53214-4814

Phone

(414) 383-5833

Fax

(414) 383-0233

NPI assigned

Jun 14, 2016

Last updated

Jun 14, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roberto Monteagudo, DDSNPI 1750507356

Title

Clinical Director/Provider

Phone

(414) 383-5833

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roberto Edgardo Monteagudo, D.D.S.

  • General Practice Dentistry
  • West Allis, WI
  • NPI 1750507356
  NPD (past) Authorized official
• Silvia Bautista Morrobel

  • Dentist
  • West Allis, WI
  • NPI 1811425408
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465862400000",
    "number": "1295185981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 S 70TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144814",
            "telephone_number": "414-383-5833",
            "fax_number": "414-383-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 S 70TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144814",
            "telephone_number": "414-383-5833",
            "fax_number": "414-383-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY DENTAL OF MILWAUKEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A",
        "authorized_official_last_name": "MONTEAGUDO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/PROVIDER",
        "authorized_official_telephone_number": "414-383-5833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Eitel Miller, SLP
• Latasha Elam, LPN
• Hesham M Elghannam, MD
• Jazimine Ellis
• Mark A Elson, MD
• Emeritus Corporation (West Park Place Senior Living Community)
• Endodontic Specialists, S.C.
• Enerqi, Inc (Enerqi Center for Acupuncture and Traditional Medicine)
• Margaret Jean Erdman, RN
• Evergreen Pharmacy LLC

• General Practice Dentistry in West Allis, WI
• Providers in West Allis, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.