MEDICARE: ASK FAMILY DENTISTRY LLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1578144754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASK FAMILY DENTISTRY LLC

Provider Business Mailing Address
First Line	:	9211 W AUER AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-3528
Country	:	US
Telephone Number	:	414-445-3670
Fax Number	:

Provider Business Practice Location Address
First Line	:	9211 W AUER AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-3528
Country	:	US
Telephone Number	:	414-445-3670
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	SIRISHA PULAPAKA
Credential	:
Telephone Number	:	414-445-3670

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	04/19/2021

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Directions to “ASK FAMILY DENTISTRY LLC ” Practice Location

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