Organization Active NPI

South Shore Dentistry and Implants, LLC

  • General Practice Dentistry
  • Cudahy, WI
National Provider Identifier
1467266494
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOUTH SHORE DENTISTRY AND IMPLANTS, LLC
Practice address
3527 E Squire Ave
Cudahy, WI 53110-1426
Phone
(630) 880-8465
NPI assigned
Jan 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Sami Martini, DDSNPI 1700448297
Title
Owner
Phone
(630) 880-8465

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3527 E Squire Ave
Cudahy, WI 53110-1426

Mailing address

3527 E Squire Ave
Cudahy, WI 53110-1426
Phone (630) 880-8465

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1467266494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3527 E SQUIRE AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101426",
            "telephone_number": "630-880-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3527 E SQUIRE AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101426",
            "telephone_number": "630-880-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE DENTISTRY AND IMPLANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "MARTINI",
        "authorized_official_first_name": "SAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-880-8465",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cudahy, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.