Michelle Natalie Dacosta
Dentist Dental Public Health
2555 N Dr Martin Luther King Dr Milwaukee Health Services Inc
Milwaukee
, Wisconsin 53212-2709
Michelle Natalie Dacosta
Dentist Dental Public Health
2555 N Dr Martin Luther King Dr Milwaukee Health Services Inc
Milwaukee
, Wisconsin 53212-2709
(414) 760-3983
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About
Features
Specialties
- Dentist
- Dental Public Health
Languages spoken
- English
Location
First Address
- Michelle Natalie Dacosta
- 2555 N Dr Martin Luther King Dr Milwaukee Health Services Inc
- Milwaukee, WI
- Zip : 53212-2709
- Fax : (414) 760-3983
- Phone : (414) 372-8080
Second Address
- Michelle Natalie Dacosta
- 2555 N Dr Martin Luther King Dr Milwaukee Health Services Inc
- Milwaukee, WI
- Zip : 53212-2709
- Fax : (414) 760-3983
- Phone : (414) 372-8080
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 122300000X | Dentist | 4727 | WI |
| N | 1223D0001X | Dental Public Health | 4727 | WI |
National Provider Identifier
| NPI | 1104963784 |
|---|---|
| Provider Name | Michelle Natalie Dacosta |
| First Address | Milwaukee, WI 53212-2709 |
| Second Address | Milwaukee, WI 53212-2709 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2007 |
| Last Update Date | 19/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.