Dental Castle Inc

Primary specialty

DentistTaxonomy code 122300000X

License

019029338 Issued in WI

Legal business name

DENTAL CASTLE INC

Practice address

2669 N Swan Blvd
Wauwatosa, WI 53226-1800

Phone

(414) 258-2216

Fax

(414) 258-9466

NPI assigned

Nov 1, 2015

Last updated

Nov 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wael Shahshouh

Title

Vice President

Phone

(414) 258-2216

Specialties & licenses 1

Addresses

Other names 1

• Swan Dental Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sylvia Brown

  • General Practice Dentistry
  • Wauwatosa, WI
  • NPI 1932862612
  NPD

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

{
    "created_epoch": "1446336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446336000000",
    "number": "1659744506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 N SWAN BLVD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261800",
            "telephone_number": "414-258-2216",
            "fax_number": "414-258-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 N SWAN BLVD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261800",
            "telephone_number": "414-258-2216",
            "fax_number": "414-258-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CASTLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-01",
        "last_updated": "2015-11-01",
        "status": "A",
        "authorized_official_last_name": "SHAHSHOUH",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "414-258-2216"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "019029338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swan Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Amy Dell, LPC
• Kenneth Dell Dembny II, M.D.
• Solomon B Demby
• Bernadette Demuri, M.D.
• Dental Associates LTD of Wisconsin
• Jessica Marie Denton, APNP
• Dermatology Services, SC
• Dermavation, S.C.
• Chelsea Rae Derocha-Cavalea, APNP
• Mackenzee Derrick, AGACNP-BC

• Dentist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2015; 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.