Dentist Providers In Wauwatosa, Wisconsin

Search Dentist NPI records in Wauwatosa, WI

Search or browse through the NPI records of dentist registered healthcare providers with a business address in Wauwatosa, WI. The listings include accepted insurance information, Medicare acceptance status, and PECOS enrollment data. The total number of NPI records is 135, of which 30 are registered as organizations and 105 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

78% Individuals

22% Organizations

27% Female

51% Male

78% Individual Providers (105)22% Medical Organizations (30)27% Female Providers (36)51% Male Providers (69)

Map of Providers

We have mapped the Dentist providers in Wauwatosa, WI to visually represent the practice location of each individual or organization. Click on any of the the pins to see the provider details at that location.

List of Providers

Table of Dentist NPI Profiles in Wauwatosa, WI
NPI	Name	Address	Insurance	Medicare	PECOS
1003116765	JAY L. MACKMAN, DDS (Organization)	2626 N 76TH ST WAUWATOSA, WI 53213 (414) 476-9400		Non-Participating Provider	NO
1003229287	JULIA ELIZABETH KENNEDY (Individual)	11819 W DIANE DR WAUWATOSA, WI 53226 (262) 894-6230	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1003914607	KENNETH PAUL FERENTCHAK (Individual)	1011 N MAYFAIR RD SUITE 303 WAUWATOSA, WI 53226 (414) 771-4480	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1033266291	CHRISTOPHER N. JORDAN (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	NO
1063544039	DAVID ROBERT LASTE (Individual)	11637 W NORTH AVE WAUWATOSA, WI 53226 (414) 259-0665	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1073136420	GENERATIONS FAMILY DENTAL CARE-TOSA, LLC (Organization)	2505 N MAYFAIR RD STE 103 WAUWATOSA, WI 53226 (414) 258-2117		Non-Participating Provider	NO
1093930380	RICHARD V. KNOFF (Individual)	2600 N MAYFAIR RD SUITE 505 WAUWATOSA, WI 53226 (414) 258-1500		Non-Participating Provider	NO
1104563816	NIDHI MAHAJAN (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (262) 524-9000	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1104885482	WAUWATOSA DENTAL GROUP SC (Organization)	2600 N MAYFAIR RD SUITE 750 WAUWATOSA, WI 53226 (414) 257-3366		Non-Participating Provider	NO
1104984277	ROBERT WALKER MIER (Individual)	2626 N 76TH ST SUITE 105 WAUWATOSA, WI 53213 (414) 476-9400		Opted out of Medicare	YES
1124031323	DENNIS MOORE ROBBINS (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 777-3801		Non-Participating Provider	NO
1124870910	NICOLE ASHLEY BROZ (Individual)	11904 W NORTH AVE WAUWATOSA, WI 53226 (414) 206-3356	BEST Life Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Guardian Humana UnitedHealthcare	Non-Participating Provider	NO
1134235427	LMG, INC TMJ & OROFACIAL PAIN TREATMENT CENTERS OF WI (Organization)	2626 N 76TH STREET SUITE 101 WAUWATOSA, WI 53213 (414) 476-9400	Anthem Blue Cross and Blue Shield Common Ground Healthcare Cooperative Dean Health Plan	Non-Participating Provider	NO
1134795370	ANDREA TSATALIS (Individual)	11904 W NORTH AVE STE 105 WAUWATOSA, WI 53226 (414) 485-2893	Aetna CVS Health Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Cigna Healthcare Delta Dental Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1144298266	TIMOTHY R MIELKE (Individual)	2600 N MAYFAIR RD SUITE 750 WAUWATOSA, WI 53226 (414) 257-3366	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Dominion National Humana Paramount Paramount Dental	Non-Participating Provider	YES
1144333782	GERALD F EAGAN (Individual)	2300 N MAYFAIR RD SUITE 920 WAUWATOSA, WI 53226 (414) 257-1230		Non-Participating Provider	NO
1144423427	INNA KOTLYARENKO (Individual)	10425 W NORTH AVE SUITE 335 WAUWATOSA, WI 53226 (414) 476-3909	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1154352425	SCOTT NEIL LEVIN (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 777-3800	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1154421113	JAMES FRANK PECHLOFF (Individual)	2645 N MAYFAIR RD SUITE 240 WAUWATOSA, WI 53226 (414) 475-5505	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	YES
1154488484	ANN MARIE WALSH HOYME (Individual)	8726 W NORTH AVE WAUWATOSA, WI 53226 (414) 258-5351	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Florida Combined Life Guardian	Non-Participating Provider	NO
1154489656	NILES KNIGHT BAKKE (Individual)	2457 N MAYFAIR RD SUITE 203 WAUWATOSA, WI 53226 (414) 258-0963	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Guardian Humana	Non-Participating Provider	NO
1154615532	KATHRYN BECHERER (Individual)	7015 W NORTH AVE WAUWATOSA, WI 53213 (414) 453-7665		Non-Participating Provider	NO
1174271076	ADVANCED DENTAL SPECIALISTS, LLC (Organization)	2600 N MAYFAIR RD STE 101 WAUWATOSA, WI 53226 (414) 475-1418	UnitedHealthcare	Non-Participating Provider	NO
1174669634	DANIEL E TACHE (Individual)	2626 N 76TH ST WAUWATOSA, WI 53213 (414) 476-9400	Anthem Blue Cross and Blue Shield Common Ground Healthcare Cooperative Dean Health Plan Network Health	Accepts Medicare	YES
1184793580	GENERATIONS FAMILY DENTAL (Organization)	2505 N MAYFAIR RD #103 WAUWATOSA, WI 53226 (414) 258-2117		Non-Participating Provider	NO
1205848173	CARLEEN LINDA SCHMIDT (Individual)	2457 N MAYFAIR RD SUITE 101 WAUWATOSA, WI 53226 (414) 774-7550	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1215030218	LAURA W RUSSELL (Individual)	8726 W NORTH AVE WAUWATOSA, WI 53226 (414) 258-5351	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Florida Combined Life Guardian	Non-Participating Provider	NO
1215740576	WISCONSIN DENTAL TEAM, A SERVICE CORPORATION (Organization)	805 N MAYFAIR RD WAUWATOSA, WI 53226 (414) 567-0662		Non-Participating Provider	NO
1225922958	MAYFAIR DENTAL CARE: IMPLANTS, ORAL SURGERY AND FAMILY DENTAL S.C. (Organization)	2200 N MAYFAIR RD WAUWATOSA, WI 53226 (414) 944-1456		Non-Participating Provider	NO
1235517897	1BUBON & ASSOCIATES, ORTHODONTICS, SC (Organization)	1701 N MAYFAIR RD SUITE C WAUWATOSA, WI 53226 (262) 522-7447		Non-Participating Provider	NO
1245282367	PERRY W SUKOWATEY DDS LTD (Organization)	2600 N MAYFAIR RD SUITE 450 WAUWATOSA, WI 53226 (414) 258-8444		Non-Participating Provider	NO
1245455831	ANNE FERGUS (Individual)	2600 N MAYFAIR RD SUITE 505 WAUWATOSA, WI 53226 (414) 258-1500	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Opted out of Medicare	YES
1255300398	NATALIE R JOHNSON-STOECKL (Individual)	2600 N MAYFAIR RD STE 750 WAUWATOSA, WI 53226 (414) 257-3366	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1255354031	ROBERT PETER AMBROOKIAN (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345		Non-Participating Provider	YES
1265451744	GEORGE EUGENE ROONEY (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345		Non-Participating Provider	NO
1265541205	THERESE PICKART (Individual)	2600 N MAYFAIR RD SUITE 425 WAUWATOSA, WI 53226 (414) 258-1008		Opted out of Medicare	YES
1285029652	SANDBERG MODERN DENTAL LLC (Organization)	6535 W NORTH AVE WAUWATOSA, WI 53213 (414) 258-8190		Non-Participating Provider	NO
1285089862	LAUREN ASHLEY STERNER (Individual)	11904 W NORTH AVE WAUWATOSA, WI 53226 (414) 454-0700	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Humana Paramount Paramount Dental Renaissance Dental	Opted out of Medicare	NO
1285605782	DR CRAIG W BYERS LTD CRAIG W. BYERS DDS (Organization)	2457 N MAYFAIR RD # 102 DR CRAIG W BYERS WAUWATOSA, WI 53226 (414) 257-1221		Non-Participating Provider	NO
1285937557	CRAIG WILLIAM BYERS (Individual)	2457 NORTH MAYFAIR ROAD SUITE 102 WAUWATOSA, WI 53226 (414) 257-1221		Non-Participating Provider	NO
1295836419	ANN FRANCES O'NEIL (Individual)	8500 W NORTH AVE WAUWATOSA, WI 53226 (414) 258-1730	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Guardian Renaissance Dental	Non-Participating Provider	YES
1306058326	TIMOTHY J TIKALSKY (Individual)	11407 W BLUEMOUND RD WAUWATOSA, WI 53226 (414) 258-0120	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	YES
1306875646	WILLIAM NICHOLAS STATHAS (Individual)	2300 N MAYFAIR RD SUITE 345 WAUWATOSA, WI 53226 (414) 456-9020		Non-Participating Provider	YES
1316004864	ROBIN ANN GORMAN (Individual)	6101 W VLIET ST SUITE 101 WAUWATOSA, WI 53213 (414) 475-9035	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Dominion National Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1326554197	HYPNOS, INC. KOALA CENTER FOR SLEEP DISORDERS (Organization)	2885 N MAYFAIR RD WAUWATOSA, WI 53222 (262) 923-7879		Non-Participating Provider	NO
1336318716	PERRY WAYNE SUKOWATEY (Individual)	2600 N MAYFAIR RD SUITE 4540 WAUWATOSA, WI 53226 (414) 258-8444	Guardian	Non-Participating Provider	YES
1336615814	KELSEY CHADWICK (Individual)	6535 W NORTH AVE WAUWATOSA, WI 53213 (414) 258-8190	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1336636547	MAYFAIR FAMILY DENTISTRY (Organization)	11637 W NORTH AVE WAUWATOSA, WI 53226 (414) 259-0665		Non-Participating Provider	NO
1346252434	JASON ALLEN BREWER (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	YES
1346257003	LAWRENCE THOMAS PATTI (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345		Non-Participating Provider	NO
1356788798	ZACHARY FREDRIC ROSEN (Individual)	11600 W NORTH AVE WAUWATOSA, WI 53226 (414) 462-3160	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1356921894	JUSTIN ROCHE (Individual)	11600 W NORTH AVE WAUWATOSA, WI 53226 (414) 462-3160	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1376608257	TOM TONGAS (Individual)	2380 N 124TH ST WAUWATOSA, WI 53226 (414) 774-5646	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1376708164	RANDY MCGRATH HOFFMANN (Individual)	2600 N MAYFAIR RD SUITE 945 WAUWATOSA, WI 53226 (414) 258-5501	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1376786285	RONALD DAVID MEYERS (Individual)	2600 N MAYFAIR RD STE 240 WAUWATOSA, WI 53226 (414) 258-1500		Non-Participating Provider	NO
1396190476	KATHARINE NELSON SUWALSKI (Individual)	7626 WARREN AVE WAUWATOSA, WI 53213 (414) 550-5507	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1396204418	TRAVIS LEPERA (Individual)	8915 W CONNELL AVE WAUWATOSA, WI 53226 (414) 266-2040	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	NO
1396842712	JONATHAN GEORGE FRANKMANN (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	YES
1396865671	THOMAS G. SHAW (Individual)	2600 N MAYFAIR RD STE 340 WAUWATOSA, WI 53226 (414) 259-0660		Non-Participating Provider	YES
1407824998	CYNTHIA L EBENHOCH (Individual)	2600 N MAYFAIR RD SUITE 750 WAUWATOSA, WI 53226 (414) 257-3366	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1407925803	FRED A LACOURT (Individual)	2505 N MAYFAIR RD #103 WAUWATOSA, WI 53226 (414) 258-2117		Non-Participating Provider	NO
1427062421	JAMES M DEL BALSO (Individual)	2300 N MAYFAIR RD #1040 WAUWATOSA, WI 53226 (414) 774-4222		Opted out of Medicare	YES
1427180843	THOMAS WARREN FROST (Individual)	10425 W NORTH AVE SUITE 249 WAUWATOSA, WI 53226 (414) 454-0700	Guardian	Non-Participating Provider	NO
1427518331	ELIZABETH A MARGRETT (Individual)	11407 W BLUEMOUND RD WAUWATOSA, WI 53226 (414) 258-0120	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1437168606	KEITH R PAUKNER (Individual)	10625 W NORTH AVE SUITE 329 WAUWATOSA, WI 53226 (414) 259-1531	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Guardian	Non-Participating Provider	YES
1447375431	TIMOTHY RICHARD KIRKPATRICK (Individual)	11040 W BLUEMOUND RD SUITE 201 WAUWATOSA, WI 53226 (414) 476-4777	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1457452682	ANN O'NEIL, D.D.S.,S.C. (Organization)	8500 W NORTH AVE WAUWATOSA, WI 53226 (414) 258-1730		Non-Participating Provider	NO
1457472441	J.L. MACKMAN DDS (Organization)	2626 N WAUWATOSA AVE WAUWATOSA, WI 53213 (414) 476-9400		Non-Participating Provider	NO
1457757882	MICHELLE J MAY (Individual)	11637 W NORTH AVE WAUWATOSA, WI 53226 (414) 259-0665	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Dominion National Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	NO
1487708251	AMERICAN DENTAL PROFESSIONALS, S. C. (Organization)	2300 N MAYFAIR RD SUITE 920 WAUWATOSA, WI 53226 (414) 257-1230		Non-Participating Provider	NO
1497923999	TROY PETER MOLITOR (Individual)	2600 N MAYFAIR RD STE 750 WAUWATOSA, WI 53226 (414) 257-3366	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1508084245	JOHN L SCHEELS (Individual)	6803 W WELLS ST WAUWATOSA, WI 53213 (414) 259-1155	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1508185596	DAVID C THAO (Individual)	8700 W WATERTOWN PLANK RD WAUWATOSA, WI 53226 (414) 453-0445	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Guardian	Non-Participating Provider	YES
1508246091	MATTHEW HOUTING (Individual)	2505 N MAYFAIR RD STE 103 WAUWATOSA, WI 53226 (715) 571-1669	Delta Dental of Wisconsin Inc.	Non-Participating Provider	NO
1518063874	RANDALL J MCDANIEL (Individual)	2626 N 76TH ST WAUWATOSA, WI 53213 (414) 476-9400		Non-Participating Provider	YES
1518266998	DENTAL ASSOCIATES LTD OF WISCONSIN (Organization)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 778-5274	Anthem Blue Cross and Blue Shield Dean Health Plan DentaTrust/DentaSpan	Non-Participating Provider	NO
1528163169	DAVID R. LASTE D.D.S.,S.C. (Organization)	11637 W NORTH AVE WAUWATOSA, WI 53226 (414) 259-0665		Non-Participating Provider	NO
1528734399	TROY H THOONG (Individual)	11904 W NORTH AVE STE 105 WAUWATOSA, WI 53226 (414) 485-2893	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Guardian UnitedHealthcare	Non-Participating Provider	NO
1538360086	LEONARD R. MACHI (Individual)	12217 W NORTH AVE WAUWATOSA, WI 53226 (414) 771-4580	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1548271505	JAMES THOMAS WARD (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-5000	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Chorus Community Health Plans Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	YES
1568488641	JAMES MICHAEL PODNAR (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 777-3817		Non-Participating Provider	NO
1578572277	GEORGE STEVEN LUKATS (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Florida Combined Life Humana	Non-Participating Provider	YES
1578683942	RICHARD J. SALM (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 526-0655	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Dominion National Humana Paramount Paramount Dental Renaissance Dental UnitedHealthcare	Non-Participating Provider	YES
1588131163	SHILOH JOSHUA GOLDEN (Individual)	10625 W NORTH AVE STE 320 WAUWATOSA, WI 53226 (414) 774-5020		Non-Participating Provider	NO
1588719611	GAYLE M HEINRICH (Individual)	2300 N MAYFAIR RD #245 WAUWATOSA, WI 53226 (414) 257-3103	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1609889187	ANTHONY JOSEPH COLETTA (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Companion Life Insurance Company Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1619940566	MATTHEW JAMES BABCOCK (Individual)	2505 N MAYFAIR RD WAUWATOSA, WI 53226 (414) 258-2117	Delta Dental of Wisconsin Inc. Guardian	Non-Participating Provider	NO
1629184841	ROBERT JOHN GRZYBOWSKI (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Humana	Non-Participating Provider	NO
1629280987	NANCY ELLEN SHUMATE (Individual)	2600 N MAYFAIR RD STE 340 WAUWATOSA, WI 53226 (414) 259-0660		Non-Participating Provider	NO
1629628268	STEVEN SCHNOLL DDS SC (Organization)	8606 W WRIGHT ST WAUWATOSA, WI 53226 (414) 588-1365		Non-Participating Provider	NO
1649643222	TOSA DENTAL LLC (Organization)	8715 W NORTH AVE WAUWATOSA, WI 53226 (414) 258-5660		Non-Participating Provider	NO
1659744506	DENTAL CASTLE INC SWAN DENTAL (Organization)	2669 N SWAN BLVD WAUWATOSA, WI 53226 (414) 258-2216	UnitedHealthcare	Non-Participating Provider	NO
1669690509	WILLIAM R. CONNER (Individual)	11407 W. BLUEMOUND RD. WAUWATOSA, WI 53226 (414) 258-0120	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Paramount Paramount Dental Renaissance Dental	Non-Participating Provider	NO
1679616304	DONALD RICHARD KRATZ (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 777-3801		Non-Participating Provider	NO
1679631550	DAVID G LLOYD (Individual)	10425 W NORTH AVE STE 236 WAUWATOSA, WI 53226 (414) 453-1423	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian	Non-Participating Provider	NO
1679675987	RICHARD J. GRZYBOWSKI (Individual)	11711 WEST BURLEIGH STREET WAUWATOSA, WI 53222 (414) 771-2345	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	YES
1689048712	JAMES SCHMIDT (Individual)	8736 W NORTH AVE STE B WAUWATOSA, WI 53226 (414) 476-2244	Delta Dental of Wisconsin Inc. Florida Combined Life Guardian UnitedHealthcare	Non-Participating Provider	NO
1699088369	BRIAN J. BLOCHER DDS SC (Organization)	201 N MAYFAIR RD STE 520 WAUWATOSA, WI 53226 (414) 607-0222		Non-Participating Provider	NO
1699205336	PATRICK T CLANCY (Individual)	11904 W NORTH AVE STE 105 WAUWATOSA, WI 53226 (414) 454-0700	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1699784363	STUART HOFFMAN (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 777-2345	Anthem Blue Cross and Blue Shield	Opted out of Medicare	YES
1710248125	STACY HAJINIAN MICHELS (Individual)	10425 W NORTH AVE SUITE 302 WAUWATOSA, WI 53226 (414) 259-9400		Non-Participating Provider	NO
1720133853	GEOFFREY W HEINRICH (Individual)	2300 N MAYFAIR RD #245 WAUWATOSA, WI 53226 (414) 257-3103	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas	Non-Participating Provider	NO
1720172992	ORAL SURGERY ASSOCIATES OF MILWAUKEE (Organization)	800 NORTH MAYFAIR ROAD SUITE 130 WAUWATOSA, WI 53226 (262) 798-0800	Anthem Blue Cross and Blue Shield	Non-Participating Provider	NO
1720549660	PRATHI H JAIN (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345	Aetna CVS Health Ambetter from Absolute Total Care Ambetter of North Carolina Ambetter of Tennessee Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Alabama Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of NC Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of North Carolina DentaQuest Insurance Company Inc- IL DentaTrust/DentaSpan Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental Renaissance Dental TRUASSURE INSURANCE COMPANY UnitedHealthcare WellCare of North Carolina	Non-Participating Provider	NO
1730288200	VIVIAN J. HUDSON (Individual)	11711 W. BURLEIGH STREET WAUWATOSA, WI 53222 (414) 778-5289	Humana	Non-Participating Provider	NO
1740408582	BARRY E WOLF (Individual)	11407 W. BLUEMOUND RD. WAUWATOSA, WI 53226 (414) 258-0120		Non-Participating Provider	YES
1740717917	CASEY L BURNS (Individual)	2600 N MAYFAIR RD STE 750 WAUWATOSA, WI 53226 (414) 257-3366	Anthem Blue Cross and Blue Shield Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Dominion National Guardian Humana Paramount Paramount Dental	Non-Participating Provider	YES
1750730495	NEU FAMILY DENTISTRY, S.C. (Organization)	2600 N MAYFAIR RD SUITE 450 WAUWATOSA, WI 53226 (414) 258-8444		Non-Participating Provider	NO
1760791883	JOHN TADYCH (Individual)	2600 N MAYFAIR ROAD SUITE 750 WAUWATOSA, WI 53226 (414) 257-3366	Humana	Non-Participating Provider	NO
1780112110	ALICIA RENE' BRAZA (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Blue Cross Blue Shield of Michigan Mutual Insurance Company Dominion National EMI Health Florida Combined Life Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	YES
1780733782	DEAN COPOULOS (Individual)	2600 N MAYFAIR RD WAUWATOSA, WI 53226 (414) 771-1228		Opted out of Medicare	YES
1780815928	RAISON SUJAI BOSE (Individual)	2600 N MAYFAIR RD SUITE 240 WAUWATOSA, WI 53226 (414) 258-1500	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Guardian Humana Renaissance Dental	Opted out of Medicare	YES
1790720720	JOHN JAY FINNESSY (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345		Non-Participating Provider	NO
1801240627	EKTA DESAI (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	YES
1821194184	JAY L MACKMAN (Individual)	2626 N 76TH ST WAUWATOSA, WI 53213 (414) 476-9400	Anthem Blue Cross and Blue Shield Common Ground Healthcare Cooperative Network Health	Accepts Medicare	YES
1821483611	ELIZABETH CHYBOWSKI (Individual)	2600 N. MAYFAIR RD. SUITE 240 WAUWATOSA, WI 53226 (414) 258-1500	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Guardian Humana Renaissance Dental	Non-Participating Provider	NO
1821532060	HARRIS FAMILY DENTAL, SC (Organization)	2600 N MAYFAIR RD STE 690 WAUWATOSA, WI 53226 (414) 771-1228		Non-Participating Provider	NO
1841404464	RANDAL G STELZNER (Individual)	10425 W NORTH AVE SUITE #335 WAUWATOSA, WI 53226 (414) 476-9910	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Chorus Community Health Plans Delta Dental of Wisconsin Inc. Guardian	Non-Participating Provider	NO
1851346613	JASON M MAILHOT (Individual)	2600 N MAYFAIR RD SUITE #340 WAUWATOSA, WI 53226 (414) 259-0660		Non-Participating Provider	NO
1851499362	MARINELLI & FERENTCHAK, DDS, SC DRS. MARINELLI & FERENTCHAK (Organization)	1011 N MAYFAIR RD SUITE 303 WAUWATOSA, WI 53226 (414) 771-4480		Non-Participating Provider	NO
1851617229	MATTHEW SANDBERG (Individual)	6535 W NORTH AVE WAUWATOSA, WI 53213 (414) 258-8190		Non-Participating Provider	NO
1861018269	ANOUSHKA SYED (Individual)	2600 N MAYFAIR RD STE 750 WAUWATOSA, WI 53226 (414) 253-1669	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Florida Combined Life Humana UnitedHealthcare	Non-Participating Provider	NO
1871120535	BRADLEY BERTRAM MORGEN (Individual)	11904 W NORTH AVE STE 105 WAUWATOSA, WI 53226 (414) 454-0700	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Dominion National Florida Combined Life Guardian Humana Paramount Paramount Dental UnitedHealthcare	Non-Participating Provider	NO
1871505974	MARK R CREGO (Individual)	8726 W NORTH AVE WAUWATOSA, WI 53226 (414) 258-5351	Anthem Blue Cross and Blue Shield Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Florida Combined Life Guardian	Non-Participating Provider	NO
1891915856	WILLIAM JOHN TOONEN (Individual)	8715 W NORTH AVE WAUWATOSA, WI 53226 (414) 258-5660		Non-Participating Provider	NO
1902593692	COURTNEY TRUDEAU (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 808-3015	Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Delta Dental of Wisconsin Inc. Humana	Non-Participating Provider	NO
1912136532	HUCK DENTAL LLC (Organization)	10625 W NORTH AVE SUITE 320 WAUWATOSA, WI 53226 (414) 774-5020		Non-Participating Provider	NO
1932121993	ANDRIS JAUNBERZINS (Individual)	2500 N MAYFAIR RD SUITE 360 WAUWATOSA, WI 53226 (414) 258-4882		Non-Participating Provider	NO
1932364114	NICOLE M SIMONETTI (Individual)	9000 W WISCONSIN AVE M.S. 773 WAUWATOSA, WI 53226 (414) 266-2044	Antidote Health Plan of Arizona Inc. Antidote Health Plan of Ohio Inc. BEST Life Blue Cross and Blue Shield of Illinois Blue Cross and Blue Shield of Montana Blue Cross and Blue Shield of Oklahoma Blue Cross and Blue Shield of Texas Chorus Community Health Plans Delta Dental of Wisconsin Inc. Dominion National Guardian Humana Paramount Paramount Dental	Non-Participating Provider	NO
1932399805	CHRISTINE LEE FISCHER (Individual)	6101 W VLIET ST WAUWATOSA, WI 53213 (414) 475-9035		Non-Participating Provider	NO
1932862612	SYLVIA BROWN (Individual)	2669 N SWAN BLVD WAUWATOSA, WI 53226 (414) 323-1000		Non-Participating Provider	NO
1942450457	WISCONSIN ENDODONTIC GROUP, S.C. (Organization)	2600 N. MAYFAIR RD. STE 240 WAUWATOSA, WI 53226 (414) 258-1500		Non-Participating Provider	NO
1962522334	BARTON & SHAW PERIODONTICS (Organization)	2600 N MAYFAIR RD STE 340 WAUWATOSA, WI 53226 (414) 259-0660		Non-Participating Provider	NO
1982673026	JOHN R MALENSEK (Individual)	2600 N MAYFAIR RD STE 750 WAUWATOSA, WI 53226 (414) 257-3366		Non-Participating Provider	NO
1992728455	KAY LOUISE KRATZ (Individual)	11711 W BURLEIGH ST WAUWATOSA, WI 53222 (414) 771-2345		Non-Participating Provider	NO

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