SearchWisconsinGeneral Practice Dentistry

Jon Pagenkopf

NPI 1184772709 · on the registry since 2007

Practice

Address
1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone
(414) 276-5453
Fax
(414) 276-1715
Organisation at this address
Aurora Pharmacy
Aurora Pharmacy Inc
Aurora Medical Group, Inc.
Wisconsin Dental Group, S.C.
Aurora Advanced Healthcare, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

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