MEDICARE: DR. NICHOLAS DWAN D.D.S.

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	1223G0001X	General Practice Dentistry	1001083-15	WI

General Provider Information

NPI Number	:	1255718169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS DWAN D.D.S.

Provider Business Mailing Address
First Line	:	3333 S SUNNYSLOPE RD STE 100
Second Line	:
City	:	NEW BERLIN
State	:	WI
Zip	:	53151-4504
Country	:	US
Telephone Number	:	262-505-1000
Fax Number	:	262-505-1019

Provider Business Practice Location Address
First Line	:	3333 S SUNNYSLOPE RD STE 100
Second Line	:
City	:	NEW BERLIN
State	:	WI
Zip	:	53151-4504
Country	:	US
Telephone Number	:	262-505-1000
Fax Number	:

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

Provider Enumeration Date	:	04/29/2015
Last Update Date	:	08/11/2021

Similar Medicare Providers

1346221660 — JUDITH HERTANU MD
Practice Location Address:

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax:

1326071200 — PATRICK S BARRON
Practice Location Address:

3333 S SUNNYSLOPE RD STE 103B
NEW BERLIN, WI
53151-4504

Practice Phone: 262-853-8452
Practice Fax:

1700174554 — LUCINDA RAE MEIER D.P.M.
Practice Location Address:

3333 S SUNNY SLOPE RD STE 102
NEW BERLIN, WI
53151-4504

Practice Phone: 262-821-1588
Practice Fax: 262-821-6644

1104393982 — FASTBACK PHYSICAL THERAPY LLC
Practice Location Address:

3333 S SUNNYSLOPE RD STE 103B
NEW BERLIN, WI
53151-4504

Practice Phone: 262-853-8452
Practice Fax:

1518592302 — THIRD COAST FOOT AND ANKLE SC
Practice Location Address:

3333 S SUNNY SLOPE RD STE 102
NEW BERLIN, WI
53151-4504

Practice Phone: 262-821-1588
Practice Fax: 262-821-6644

1609493188 — WILLOW DENTAL GROUP LLC
Practice Location Address:

3333 S SUNNYSLOPE RD STE 100
NEW BERLIN, WI
53151-4504

Practice Phone: 262-505-1000
Practice Fax:

Directions to “ DR. NICHOLAS DWAN D.D.S.” 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.