PROGRESSIVE PERIODONITICS AND DENTAL IMPLANTS
NPI 1962553834
Dentist - Periodontics in Greenfield, WI

Active since January 16, 2007
8405 W FOREST HOME AVE, SUITE 203, GREENFIELD, WI 53228(414) 425-7710(414) 425-7424 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Progressive Periodonitics And Dental Implants NPPES

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

PROGRESSIVE PERIODONITICS AND DENTAL IMPLANTS (NPI 1962553834) is a healthcare organization registered as a periodontics in Greenfield, Wisconsin and active in the NPI registry since January 2007. The organization lists Timothy J Mcnamara, President, as its authorized official.

NPPES Registry Identity

NPI1962553834
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePROGRESSIVE PERIODONITICS AND DENTAL IMPLANTS
Location Address8405 W FOREST HOME AVE, SUITE 203Greenfield, WI 53228-3407
Mailing Address8405 W Forest Home Ave, Suite 203Greenfield, WI 53228-3407 · (414) 425-7710 · Fax (414) 425-7424
Fax(414) 425-7424
Organization SubpartNo
Authorized OfficialTimothy J McnamaraPresident · (414) 425-7710
Enumeration DateJanuary 16, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1962553834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in WI · 2918
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
8405 W FOREST HOME AVE, Greenfield, WI 53228

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

Dentist (Periodontics)
8405 W FOREST HOME AVE
GREENFIELD, WI 53228
Dentist (Oral and Maxillofacial Surgery)
8405 W FOREST HOME AVE
GREENFIELD, WI 53228
Chiropractor
8405 W FOREST HOME AVE, STE 101
GREENFIELD, WI 53228
Chiropractor
8405 W FOREST HOME AVE, SUITE 101
GREENFIELD, WI 53228
Dentist (General Practice)
8405 W FOREST HOME AVE
GREENFIELD, WI 53228
Dentist (Periodontics)
8405 W FOREST HOME AVE, SUITE 203
GREENFIELD, WI 53228
Dentist (Periodontics)
8405 W FOREST HOME AVE
GREENFIELD, WI 53228
Dentist (Oral and Maxillofacial Surgery)
8405 W FOREST HOME AVE
GREENFIELD, WI 53228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Progressive Periodonitics And Dental Implants's NPI number?

The NPI number for Progressive Periodonitics And Dental Implants is 1962553834. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Progressive Periodonitics And Dental Implants located?

Progressive Periodonitics And Dental Implants is located at 8405 W Forest Home Ave Suite 203, Greenfield, WI 53228. The listed phone number is (414) 425-7710.

What is Progressive Periodonitics And Dental Implants's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Progressive Periodonitics And Dental Implants was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.