NPIMap

Organization Active NPI

Eastside Dental LLC

  • Dental Clinic/Center
  • Milwaukee, WI
National Provider Identifier
1780040618
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EASTSIDE DENTAL LLC
Practice address
1845 N Farwell Ave
Suite 105
Milwaukee, WI 53202-1793
Phone
(414) 276-4455
Fax
(414) 276-6898
NPI assigned
Jan 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Dr. Frank Galka, D.D.S.
Title
Owner
Phone
(414) 276-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1845 N Farwell Ave
Suite 105
Milwaukee, WI 53202-1793

Mailing address

1845 N Farwell Ave
Suite 105
Milwaukee, WI 53202-1793
Phone (414) 276-4455

Other names 1

  • Dr. Frank R. Galka Former legal business name

National Provider Directory

National Provider Directory

Locations

1845 N Farwell Ave
Ste 105
Milwaukee, WI 53202
Phone (414) 276-4455

Practitioners & affiliated clinicians

Practitioners 3

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": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1780040618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 N FARWELL AVE",
            "address_2": "SUITE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021793",
            "telephone_number": "414-276-4455",
            "fax_number": "414-276-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 N FARWELL AVE",
            "address_2": "SUITE 105",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021793",
            "telephone_number": "414-276-4455",
            "fax_number": "414-276-6898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "GALKA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-276-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Frank R. Galka",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.