| Advanced Dental | |
|
6425 W Greenfield Ave West Allis WI 53214-4939 | |
| (414) 914-7000 | |
| (414) 914-8000 |
| Full Name | Advanced Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6425 W Greenfield Ave, West Allis, Wisconsin |
| Authorized Official Name and Position | Tawfiq S Nadi (PRESIDENT) |
| Authorized Official Contact | 4149147000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental 6425 W Greenfield Ave West Allis WI 53214-4939 Ph: (414) 914-7000 | Advanced Dental 6425 W Greenfield Ave West Allis WI 53214-4939 Ph: (414) 914-7000 |
| NPI Number | 1427463199 |
|---|---|
| Provider Enumeration Date | 06/21/2014 |
| Last Update Date | 06/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427463199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6839-15 (Wisconsin) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6839-15 (Wisconsin) | Secondary |
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› Verified 7 days ago
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