Search › Wisconsin › General Practice Dentistry
Jeffrey Niedziela, D.D.S
NPI 1164436614 · on the registry since 2006
Practice
- Address
- 135 Capitol Dr
Pewaukee, WI 53072 - Phone
- (262) 691-3931
- Fax
- (262) 691-3938
- Organisation at this address
- Quirt Family Dentistry, S.C.
Wisconsin Dental Group, S.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin