Dennis J Abere, DDS
Individual provider Active NPI General Practice Dentistry · Waukesha, WI
NPI 1962585281 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962585281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5001532 (WI)
- Practice address
- 20855 Watertown Rd
#120
Waukesha, WI 53186 - Phone
- (262) 717-9104
- Fax
- (262) 717-9105
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20150414002564 | WI | Order and Referring Only - Dentist |
4284952649 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5001532 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis J Abere DDS SC | General Practice | Past | Accepting new patients |
| Vista Family Dentistry, LLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5001532 | WI | Yes |
Addresses
Primary practice location
20855 Watertown Rd
#120
Waukesha, WI 53186
Mailing address
20855 Watertown Rd
#120
Waukesha, WI 53186
Phone (262) 717-9104
Other providers in Waukesha, WI
- A New Way 2 Live LLC
- A Step Ahead Foot Care, S.C.
- Mikayla Abbeduto
- Alan Michael Abdulla
- Jason Abels
- Emily Marie Abeyta
- Abia Home Health LLC
- Abide Mental Health LLC
- Marisa Joy Abt
- Lina Y Abu-Hatoum
All providers in Waukesha, 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 Jul 8, 2007. 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.