Provider Demographics
NPI:1669035986
Name:NOWMAN, AATIF (DDS)
Entity Type:Individual
Prefix:DR
First Name:AATIF
Middle Name:
Last Name:NOWMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 GEORGE TOWNE DR STE D
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-2756
Mailing Address - Country:US
Mailing Address - Phone:262-691-9832
Mailing Address - Fax:262-691-9871
Practice Address - Street 1:1231 GEORGE TOWNE DR STE D
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-2756
Practice Address - Country:US
Practice Address - Phone:262-691-9832
Practice Address - Fax:262-691-9871
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-22
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1002274-15122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist