Healthcare Provider Details

I. General information

NPI: 1922108851
Provider Name (Legal Business Name): DAVID J. PAAPE D.D.S
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 N PLANKINTON AVE
MILWAUKEE WI
53203-1802
US

IV. Provider business mailing address

2950 S WENTWORTH AVE
MILWAUKEE WI
53207-2512
US

V. Phone/Fax

Practice location:
  • Phone: 414-225-1571
  • Fax:
Mailing address:
  • Phone: 414-763-8290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number6033-015
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: