DANIEL RICHARD BOETTCHER DDS
NPI 1104619303
Dentist in Milwaukee, WI
About Daniel Richard Boettcher Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL RICHARD BOETTCHER DDS (NPI 1104619303) is an individual dentist in Milwaukee, Wisconsin, licensed in Wisconsin (6001804-15) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Daniel Richard Boettcher Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104619303, enumerated as an "individual" on May 28, 2025.
The provider is located at 2111 W WISCONSIN AVE APT 17 MILWAUKEE, WI 53233 and the phone number is (920) 376-1478.
Dentist with taxonomy code 122300000X.
