Village Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1001191-15 Issued in WI

Legal business name

VILLAGE DENTAL LLC

Practice address

4420 W Bradley Rd
Brown Deer, WI 53223-3712

Phone

(224) 366-0406

NPI assigned

Aug 20, 2018

Last updated

Aug 20, 2018By 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

Dr. Syed Rehman, DMD

Title

Owner

Phone

(224) 366-0406

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1851871727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 W BRADLEY RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 W BRADLEY RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532233712",
            "telephone_number": "224-366-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "REHMAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-366-0406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001191-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy L Trinastic, LPC
• Carol Grace Trout, LCSW 7269123
• United Transit
• Sarah Lynn Vaithilingam, M.D
• Victoria Vandoren
• Alyssa C Vosters, M.A. MFT
• Jill M Wagner, M.D.
• Wal-Mart Stores East LP (WalMart Pharmacy 10-6394)
• Melissa Walbrandt, M.D.
• Walgreen Co (Walgreens #12524)

• General Practice Dentistry in Brown Deer, WI
• Providers in Brown Deer, 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 Aug 20, 2018; 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.