West Allis Smiles Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WEST ALLIS SMILES DENTAL LLC

Practice address

5400 W Lincoln Ave
Milwaukee, WI 53219-1662

Phone

(414) 327-6162

NPI assigned

Aug 10, 2021

Organization subpart

No

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

Authorized official

Name

Aaron Bushong, DDS

Title

Owner

Phone

(715) 573-3546

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Boeker, DDS

  • Dentist
  • West Allis, WI
  • NPI 1003548462
  NPD
• Richard John Schabowski, DDS

  • General Practice Dentistry
  • West Allis, WI
  • NPI 1649314782
  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1346915535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 W LINCOLN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532191662",
            "telephone_number": "414-327-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W LINCOLN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532191662",
            "telephone_number": "414-327-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ALLIS SMILES DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "BUSHONG",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-573-3546",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryhelen Wesner
• Carolyn Wesolowski
• Valerie Wesp
• Priscilla Wessly, MD
• Jeffrey A Wesson, MD
• West Allis Urgent Care Walk in Clinic Corp
• Caitlin West, CPNP-PC
• Janette West, SW
• Paul E West, PHD
• Rachel West, NP-C

• General Practice Dentistry in Milwaukee, WI
• Providers in Milwaukee, 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 Aug 10, 2021; 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.