American Dental Professionals, S. C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6488015 Issued in WI

Legal business name

AMERICAN DENTAL PROFESSIONALS, S. C.

Practice address

2300 N Mayfair Rd
Suite 920
Wauwatosa, WI 53226-1505

Phone

(414) 257-1230

Fax

(414) 257-3208

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chuan Li, D.M.D.

Title

Owner

Phone

(414) 257-1230

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.

• Gerald F Eagan, D.D.S

  • General Practice Dentistry
  • Wauwatosa, WI
  • NPI 1144333782
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1487708251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N MAYFAIR RD",
            "address_2": "SUITE 920",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261505",
            "telephone_number": "414-257-1230",
            "fax_number": "414-257-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N MAYFAIR RD",
            "address_2": "SUITE 920",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261505",
            "telephone_number": "414-257-1230",
            "fax_number": "414-257-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN DENTAL PROFESSIONALS, S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "CHUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-257-1230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6488015",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Amateis
• Amb Medical LLC
• Tyler Amborn, DPT
• Robert Peter Ambrookian, DDS
• Ambulatory Anesthesia Associates SC
• Curt Ammel, LPC
• Oladeji Patrick Amoo, DDS
• Benjamin Amrein, DC
• Laurie B Amundsen, MD
• Colleen Helene Anderson, RN

• General Practice Dentistry in Wauwatosa, WI
• Providers in Wauwatosa, 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 17, 2011; 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.