Emily Lubar, DDS
Individual provider Active NPI Dentist · Fox Point, WI
NPI 1982191458 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1982191458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 1001823 (WI)
- Practice address
- 1427 E Goodrich CT
Fox Point, WI 53217-2942 - Phone
- (414) 242-7586
- NPI assigned
- Apr 19, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1001823 | WI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 1001823 | WI | Yes |
Addresses
Primary practice location
1427 E Goodrich CT
Fox Point, WI 53217-2942
Mailing address
1427 E Goodrich CT
Fox Point, WI 53217-2942
Phone (414) 242-7586
Other practice location 1
29 Bee St
Charleston, SC 29403
Phone (843) 792-3933
Other providers in Fox Point, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.