Restoration Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RESTORATION DENTAL LLC

Practice address

6373 N Jean Nicolet Rd Ste 202
Glendale, WI 53217-4184

Phone

(414) 228-9680

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Bridget Mackey, DDSNPI 1932266095

Title

Owner

Phone

(414) 732-8043

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.

• Bridget Mackey, DDS

  • General Practice Dentistry
  • Glendale, WI
  • NPI 1932266095
  NPD (past) Authorized official
• Mary A. Quinn, DDS

  • General Practice Dentistry
  • Glendale, WI
  • NPI 1346203932
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1487211447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6373 N JEAN NICOLET RD STE 202",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174184",
            "telephone_number": "414-228-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6373 N JEAN NICOLET RD STE 202",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174184",
            "telephone_number": "414-228-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-732-8043",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• RDC Pharmacy LLC
• Reconnections
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• Nathan Redlich
• Reliable Medical Resources LLC
• Michele Reyes, D.O.
• Keaohna Reynolds, R.N.
• Rheumatic Disease Center
• Kirsten Richards, MS, LPC, ATR
• Ellen Patricia Ringle, OD

• Dental Clinic/Center in Glendale, WI
• Providers in Glendale, 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 Jun 11, 2019; 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.