Accommodent Dental Assoc. S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3676 Issued in WI

Legal business name

ACCOMMODENT DENTAL ASSOC. S.C.

Doing business as

Smiles on Broadway

Practice address

735 North Water Street
Suite 926
Milwaukee, WI 53202

Phone

(414) 272-8866

Fax

(414) 272-8831

NPI assigned

Mar 23, 2007

Last updated

Sep 25, 2018By 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. Perry G. Zeeb, D.D.S.NPI 1629100532

Title

President/Dentist

Phone

(414) 272-8866

Specialties & licenses 1

Addresses

Other names 1

• Smiles on Broadway Doing business as

Locations

Practitioners 1

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.

• Perry G Zeeb, DDS

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1629100532
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1386761583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 NORTH WATER STREET",
            "address_2": "SUITE 926",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53202",
            "telephone_number": "414-272-8866",
            "fax_number": "414-272-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 NORTH WATER STREET",
            "address_2": "SUITE 926",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53202",
            "telephone_number": "414-272-8866",
            "fax_number": "414-272-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOMMODENT DENTAL ASSOC. S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "ZEEB",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "414-272-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles on Broadway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smiles on Broadway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Sep 25, 2018; 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.