NPI 1174271076

Advanced Dental Specialists, LLC

Organisation General Practice Dentistry Wauwatosa, WI

Practice location

Address: 2600 N Mayfair Rd STE 101, Wauwatosa, WI 53226-1320
Phone: (414) 475-1418

Authorised official

Name: Celia Hayes
Title: Credentialing Coordinator
Phone: (217) 540-2100

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1174271076
Entity type: Organization
NPI issued: 10 Mar 2022
Record last updated: 10 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.