Bridget Mackey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6019 Issued in WI

Practice address

6373 N Jean Nicolet Rd Ste 202
Glendale, WI 53217

Phone

(414) 732-8043

NPI assigned

Jan 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restoration Dental LLC

  • Dental Clinic/Center
  • Glendale, WI
  • NPI 1487211447
  NPD (past) Authorized official

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558915200000",
    "number": "1932266095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532113768",
            "telephone_number": "414-732-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6373 N JEAN NICOLET RD STE 202",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "414-732-8043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6373 N Jean Nicolet Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "53217",
            "country_code": "US",
            "telephone_number": "414-732-8043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "BRIDGET",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2019-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie B. Lyon, MD
• Leila Maadooliat
• Lawrence John Maciolek, M.D.
• Kathleen Rose Mack, LCSW
• Mackenzie Harris
• Magnolia Voice and Swallowing Specialists, LLC
• Paul D Mandel, M.D.
• Leeann Mansker, RN
• Maple Dale - Indian Hill School District
• Vivian A Marinelli, PSYD

• General Practice Dentistry in Glendale, WI
• Providers in Glendale, 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 May 27, 2019; 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.