Signature Dentistry Solutions LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SIGNATURE DENTISTRY SOLUTIONS LLC

Practice address

545 W McKinley Ave
Milwaukee, WI 53212-4011

Phone

(414) 400-3343

NPI assigned

Jan 15, 2024

Organization subpart

No

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

Authorized official

Name

Camille Simper, MBA

Title

Director of Operations

Phone

(414) 400-3343

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1467223743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8837 N NAVAJO RD",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "532171745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W MCKINLEY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532124011",
            "telephone_number": "414-400-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE DENTISTRY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "SIMPER",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "414-400-3343",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Elizabeth Sievert, APNP
• Stacey Sievert
• Julaine Carol Siewert, PH.D.
• Susan T Sigl, MS,LPC,CSAC,ICS
• Desiree Sigler, LPC
• Melissa Signoretti, PTA
• Donna Marie Sigouin, PMHNP
• Allison Sigrist, DPT
• Mahnoor Sikandar, MD
• Daniel A Siker, MD

• Dental Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.