ALINE DUFRESNE D.M.D
NPI 1376980300
Dentist - Pediatric Dentistry in Sturtevant, WI

Q: What is Aline Dufresne's NPI number?

The NPI number for Aline Dufresne is 1376980300. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Q: What is Aline Dufresne's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Aline Dufresne was last updated on April 25, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 31, 2013PECOS Enrolled

10155 WASHINGTON AVE, STURTEVANT, WI 53177(262) 664-7743(262) 664-7799 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2017, Feb 23, 2016 (2 updates tracked since 2016).

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About Aline Dufresne D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALINE DUFRESNE D.M.D (NPI 1376980300) is an individual pediatric dentistry provider in Sturtevant, Wisconsin, licensed in Wisconsin (1001422-15) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376980300

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameALINE DUFRESNECredential: D.M.D

Location Address10155 WASHINGTON AVESturtevant, WI 53177-1645

Mailing Address1635 N Water St, Apt 507Milwaukee, WI 53202-2793 · (410) 491-4454

Phone(262) 664-7743

Fax(262) 664-7799

Sole ProprietorNo

Enumeration DateMay 31, 2013

Last NPPES UpdateApril 25, 20172 updates tracked since enumeration

✔ NPI 1376980300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in WI · 1001422-15✔ Licensed in MD · 15724

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

10155 WASHINGTON AVE, Sturtevant, WI 53177

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Other Identifiers 1

Medicaid097733100MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aline Dufresne D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53177 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JULIANA SARDENBERG-MELCHER DMD, MS

Dentist (Periodontics)