Advanced Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6839-15 Issued in WI

Legal business name

ADVANCED DENTAL

Practice address

6425 W Greenfield Ave
West Allis, WI 53214-4939

Phone

(414) 914-7000

Fax

(414) 914-8000

NPI assigned

Jun 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tawfiq S Nadi, DDS

Title

President

Phone

(414) 914-7000

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Amanda M Clifford, D.D.S.

  • Dentist
  • West Allis, WI
  • NPI 1811281991
  NPD (past)

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403308800000",
    "number": "1427463199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 W GREENFIELD AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144939",
            "telephone_number": "414-914-7000",
            "fax_number": "414-914-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 W GREENFIELD AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532144939",
            "telephone_number": "414-914-7000",
            "fax_number": "414-914-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-21",
        "last_updated": "2014-06-21",
        "status": "A",
        "authorized_official_last_name": "NADI",
        "authorized_official_first_name": "TAWFIQ",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-914-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6839-15",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "6839-15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inez Adams, NP
• Addiction Services and Pharmacotherapy, SC
• Adekunle Adesokan, M.D.
• Mohamed Z Adl, DDS
• Adore Home Health LLC
• Advancing Abilities of Wisconsin
• Advancing Abilities of Wisconsin, LLC
• Aegis Group Practice LLC
• Aesmedica LLC
• Amina Jabeen Ahmad, DC

• 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 21, 2014; 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.