NPI 1104314087

Sidney Michelle Ebert, DDS

Practitioner Dentist Hales Corners, WI

Practice location

Address: 11801 W Janesville Rd, Hales Corners, WI 53130-2327
Phone: (414) 425-1510

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 1001836-15 (WI)

Other Dentist providers in Wisconsin →

Registry record

NPI: 1104314087
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Apr 2018
Record last updated: 24 Feb 2021

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.