Organization
MARQUETTE UNIVERSITY
Active
Other names
Marquette University School of Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY C CREAMER DDS (ASSOCIATE DEAN)
(414) 288-7485
Entity
Organization
Contact information
Practice address
1801 W WISCONSIN AVE, SUITE 145 B, MILWAUKEE, WI 53233-2186
(414) 288-5902
(414) 288-8361
Mailing address
PO BOX 1881, SUITE 145 B, MILWAUKEE, WI 53201-1881
(414) 288-5902
(414) 288-8361
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33360600
—
WI
Enumeration date
07/20/2006
Last updated
11/01/2016
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