Lawrence Thomas Patti, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5000939 Issued in WI

Practice address

11711 W Burleigh St
Wauwatosa, WI 53222-3108

Phone

(414) 771-2345

Fax

(414) 771-7640

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346257003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W166 N10209 CALICO LN.",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224742",
            "telephone_number": "262-251-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 W BURLEIGH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532223108",
            "telephone_number": "414-771-2345",
            "fax_number": "414-771-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTI",
        "first_name": "LAWRENCE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5000939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prachi Vikas Patel, PHARMD
• Prapti Rajesh Patel
• Pathway Eclinic SC
• Kathrine Lyn Patterson, PSYD
• Mary Patterson
• Megan Elizabeth Patti
• Rakesh Patyal
• Andrea Brandner Patz, MAAT, ATR
• Keith R Paukner, D.D.S.
• Angela M Paul, NP

• General Practice Dentistry in Wauwatosa, WI
• Providers in Wauwatosa, 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 Jul 8, 2007; 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.