Healthcare Provider Details

I. General information

NPI: 1073435467
Provider Name (Legal Business Name): TALAT HASAN ALGUNAID DDS, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 W WISCONSIN AVE
MILWAUKEE WI
53233-2186
US

IV. Provider business mailing address

1443 E BUCKWOOD CT 1443 E BUCKWOOD CT
OAK CREEK WI
53154-3956
US

V. Phone/Fax

Practice location:
  • Phone: 414-288-1235
  • Fax: 414-288-1325
Mailing address:
  • Phone: 414-288-1325
  • Fax: 414-288-1325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number87466-875
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: