MEDICARE: DR. TUSHAR CHIMANBHAI THUMMAR DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	6001165-15	WI

General Provider Information

NPI Number	:	1922790674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TUSHAR CHIMANBHAI THUMMAR DMD

Provider Business Mailing Address
First Line	:	7782 S DREXEL RIDGE WAY APT 105
Second Line	:
City	:	OAK CREEK
State	:	WI
Zip	:	53154-4419
Country	:	US
Telephone Number	:	551-216-7433
Fax Number	:

Provider Business Practice Location Address
First Line	:	6790 W LAYTON AVE STE C
Second Line	:
City	:	GREENFIELD
State	:	WI
Zip	:	53220-4571
Country	:	US
Telephone Number	:	414-285-7929
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2023
Last Update Date	:	01/12/2026

Similar Medicare Providers

1083610604 — MR. BRIAN SCOTT KELSEY C.P.O.
Practice Location Address:

6790 WEST LAYTON AVENUE
GREENFIELD, WI
53220-4571

Practice Phone: 414-282-3100
Practice Fax: 414-282-3101

1629367339 — REICHERT & KELSEY PROSTHETICS ORTHOTICS, LLC
Practice Location Address:

6790 W LAYTON AVE
GREENFIELD, WI
53220-4571

Practice Phone: 414-282-3100
Practice Fax: 414-282-3101

1164796496 — KELSEY PROSTHETICS ORTHOTICS LLC
Practice Location Address:

6790 W LAYTON AVE
GREENFIELD, WI
53220-4571

Practice Phone: 414-282-3100
Practice Fax: 414-282-3101

1780393728 — FRESH COAST DENTAL LLC
Practice Location Address:

6790 W LAYTON AVE STE C
GREENFIELD, WI
53220-4571

Practice Phone: 414-687-9831
Practice Fax:

1205632379 — KELSEY PROSTHETICS ORTHOTICS LLC
Practice Location Address:

6790 W LAYTON AVE
GREENFIELD, WI
53220-4571

Practice Phone: 414-282-3100
Practice Fax: 414-282-3101

1720646193 — DR. COLIN LEE OD
Practice Location Address:

4300 W LAYTON AVE STE 100
GREENFIELD, WI
53220-4136

Practice Phone: 414-928-2020
Practice Fax: 414-210-3402

Directions to “ DR. TUSHAR CHIMANBHAI THUMMAR DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.