MEDICARE: SMALL WORLD CHILDRENS DENTISTRY SC

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	1223P0221X	Pediatric Dentistry	4577	WI

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
2	4577	OTHER	WI	LIC NUMBER

General Provider Information

NPI Number	:	1134237241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMALL WORLD CHILDRENS DENTISTRY SC

Provider Business Mailing Address
First Line	:	17585 W NORTH AVE
Second Line	:	SUITE 230
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-4365
Country	:	US
Telephone Number	:	262-780-9996
Fax Number	:

Provider Business Practice Location Address
First Line	:	17585 W NORTH AVE
Second Line	:	SUITE 230
City	:	BROOKFIELD
State	:	WI
Zip	:	53045-4365
Country	:	US
Telephone Number	:	262-780-9996
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. RICARDO E ARAUJO
Credential	:	DDS
Telephone Number	:	262-780-9996

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	03/07/2023

Similar Medicare Providers

1750382719 — DR. GIL TODD KNUTSON DDS
Practice Location Address:

17585 W NORTH AVE , STE 210
BROOKFIELD, WI
53045-4365

Practice Phone: 262-784-4222
Practice Fax: 262-784-4472

1851409957 — DR. RICARDO E ARAUJO DDS
Practice Location Address:

17585 W NORTH AVE , SUITE 230
BROOKFIELD, WI
53045-4365

Practice Phone: 262-780-9996
Practice Fax:

1912079583 — DR. MATHIAS J WEBER D.D.S.
Practice Location Address:

17585 W NORTH AVE , SUITE 260
BROOKFIELD, WI
53045-4365

Practice Phone: 262-782-7120
Practice Fax: 262-782-0656

1558415729 — DR. FREDRIC MATHIAS WEBER D.D.S.
Practice Location Address:

17585 W NORTH AVE , SUITE 260
BROOKFIELD, WI
53045-4365

Practice Phone: 262-782-7120
Practice Fax:

1467591560 — MR. WALTER EUGENE LEHRER DDS
Practice Location Address:

17585 W NORTH AVE
BROOKFIELD, WI
53045-4365

Practice Phone: 262-782-5141
Practice Fax: 262-782-0656

1730363045 — DR. PATRICK JAMES MCCANN D.C.
Practice Location Address:

17585 W NORTH AVE , SUITE 130
BROOKFIELD, WI
53045-4365

Practice Phone: 262-782-9700
Practice Fax: 262-782-9702

Directions to “SMALL WORLD CHILDRENS DENTISTRY SC ” 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 © 2007-2025 (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.