Provider Demographics
NPI:1851409957
Name:ARAUJO, RICARDO E (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:E
Last Name:ARAUJO
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 1:17585 W NORTH AVE
Mailing Address - Street 2:SUITE 230
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-4365
Mailing Address - Country:US
Mailing Address - Phone:262-780-9996
Mailing Address - Fax:
Practice Address - Street 1:17585 W NORTH AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-4365
Practice Address - Country:US
Practice Address - Phone:262-780-9996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI45771223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI33722300Medicaid
WI4577OtherWI LID
WI4577OtherWI LID