JM Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

4628-015 Issued in WI

Legal business name

JM DENTAL LLC

Practice address

17585 W North Ave
Suite 240
Brookfield, WI 53045-4365

Phone

(262) 782-5141

Fax

(262) 782-0656

NPI assigned

Dec 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mathias J Weber, DDS

Title

Sole Managing Member

Phone

(262) 782-5141

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1952647810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17585 W NORTH AVE",
            "address_2": "SUITE 240",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454365",
            "telephone_number": "262-782-5141",
            "fax_number": "262-782-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17585 W NORTH AVE",
            "address_2": "SUITE 240",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454365",
            "telephone_number": "262-782-5141",
            "fax_number": "262-782-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "MATHIAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MANAGING MEMBER",
        "authorized_official_telephone_number": "262-782-5141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WI",
            "license": "4628-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Jean Jensen, RN
• Michelle Renee Jermier, D.C.
• Timothy M Jest, M.D.
• Jill R. Turcott-Nielsen, LLC
• Jill T Butterfield Ms, Atrl-BC LLC
• Nicole Marie Jodat, PA-C
• Lisa Marie Joerres, M.D.
• John P Johanek, PT
• John J. Vondrell, M.D., S.C.
• John K. Hur, M.D., S.C

• Dentist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.