William Robert Baggott, DDS
Individual provider Active NPI General Practice Dentistry · Greenfield, WI
NPI 1851486484 · NPPES record last updated Jun 1, 2011
Key facts
- NPI
- 1851486484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2737 (WI)
- Practice address
- 3365 S 103 St
Suite 220
Greenfield, WI 53227 - Phone
- (414) 543-9911
- Fax
- (414) 543-9911
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141222000794 | WI | Order and Referring Only - Oral Surgery |
6800119991 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2737 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baggott Dental, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2737 | WI | Yes |
Addresses
Primary practice location
3365 S 103 St
Suite 220
Greenfield, WI 53227
Mailing address
3365 S 103 St
Suite 220
Greenfield, WI 53227
Phone (414) 543-9911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33429300 | Medicaid | WI |
Other providers in Greenfield, WI
- Aurora Pharmacy, Inc.
- Aurora Surgery Centers, LLC
- Autumn Living Inc
- B. S. Wisniewski Custom Hearing Instruments
- Michelle Renee Baerenwald
- Amanda Banker
- Shanieah Simone Banks
- Ashley Barabas
- Barbara a Hummel, MD SC
- Linda Jean Barbian
All providers in Greenfield, 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 Jun 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.