Provider Demographics
NPI:1770773897
Name:DENNIS J ABERE DDS SC
Entity type:Organization
Organization Name:DENNIS J ABERE DDS SC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DR DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ABERE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:262-717-9104
Mailing Address - Street 1:20855 WATERTOWN RD
Mailing Address - Street 2:#120
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186
Mailing Address - Country:US
Mailing Address - Phone:262-717-9104
Mailing Address - Fax:262-717-9105
Practice Address - Street 1:20855 WATERTOWN RD
Practice Address - Street 2:#120
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186
Practice Address - Country:US
Practice Address - Phone:262-717-9104
Practice Address - Fax:262-717-9105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI50015321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty