Ahp 006 LLC
Organization Active NPI General Practice Dentistry · Kenosha, WI
NPI 1699588137 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1699588137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- AHP 006 LLC
- Practice address
- 5008 Green Bay Rd Ste 104
Kenosha, WI 53144-1780 - Phone
- (262) 657-0504
- NPI assigned
- Jan 29, 2025
- Organization subpart
- No
Authorized official
- Name
- Kate Mantay
- Title
- Director of Operations
- Phone
- (262) 649-4900
Practitioners 1
-
Mario Benjamin Maritato, D.D.S.
National Provider Directory
Locations
5008 Green Bay Rd
Ste 104
Kenosha, WI 53144
Phone (262) 657-0504
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
5008 Green Bay Rd Ste 104
Kenosha, WI 53144-1780
Mailing address
15285 Watertown Plank Rd Ste 200
Elm Grove, WI 53122-2339
Phone (262) 649-4900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649311695 | Other | NPI |
Other names
- Maritato Dental
Other providers in Kenosha, WI
- Agape Home Care Inc.
- Fuad Shihab Ahmad
- Imran Ahmed Moinuddin
- Dyson J Ahola
- Eric M. Ahonen
- Nancy Aiello
- William Aiello
- Andrea Aikens
- Stacey M Aker
- Akza LLC
All providers in Kenosha, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.