MEDICARE: MARQUETTE UNIVERSITY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	1223E0200X	Endodontics
2	1223P0221X	Pediatric Dentistry
3	1223P0300X	Periodontics
4	1223S0112X	Oral and Maxillofacial Surgery (Dentist)
5	1223G0001X	General Practice Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013937499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARQUETTE UNIVERSITY

Provider Business Mailing Address
First Line	:	PO BOX 1881
Second Line	:	SUITE 145 B
City	:	MILWAUKEE
State	:	WI
Zip	:	53201-1881
Country	:	US
Telephone Number	:	414-288-5902
Fax Number	:	414-288-8361

Provider Business Practice Location Address
First Line	:	1801 W WISCONSIN AVE
Second Line	:	SUITE 145 B
City	:	MILWAUKEE
State	:	WI
Zip	:	53233-2186
Country	:	US
Telephone Number	:	414-288-5902
Fax Number	:	414-288-8361

Authorized Official
Title or Position	:	ASSOCIATE DEAN
Name	:	MR. TIMOTHY C CREAMER
Credential	:	DDS
Telephone Number	:	414-288-7485

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	11/01/2016

Similar Medicare Providers

1740121383 — LAUREN ASHLEY CRIBBEN
Practice Location Address:

1801 W WISCONSIN AVE
MILWAUKEE, WI
53233-2186

Practice Phone: 608-575-5048
Practice Fax:

1386586469 — KATHERINE ANN SULLIVAN
Practice Location Address:

1801 W WISCONSIN AVE
MILWAUKEE, WI
53233-2186

Practice Phone: 414-288-6790
Practice Fax:

1982693099 — DR. BRIAN DAVID HODGSON DDS
Practice Location Address:

1801 W WISCONSIN AVE
MILWAUKEE, WI
53233-2186

Practice Phone: 414-288-1566
Practice Fax: 414-288-0765

1700851581 — DR. JESSE WAYLON SMITH D.D.S
Practice Location Address:

1801 W WISCONSIN AVE , #206
MILWAUKEE, WI
53233-2186

Practice Phone: 414-288-6508
Practice Fax:

1790743193 — DR. TIMOTHY JOHN CREAMER D.D.S.
Practice Location Address:

1801 W WISCONSIN AVE
MILWAUKEE, WI
53233-2186

Practice Phone: 414-288-6171
Practice Fax:

1164436150 — DR. MOAWIA KASSAB DDS, MS
Practice Location Address:

1801 W WISCONSIN AVE , MARQUETTE UNIVERSITY, DENTAL SCHOOL, SURGICAL SCIENCES
MILWAUKEE, WI
53233-2186

Practice Phone: 414-288-0771
Practice Fax: 414-288-8392

Directions to “MARQUETTE UNIVERSITY ” 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.