IndividualActive
Ada Bazemore
NPI 1689089740 · Dental Hygienist · Milwaukee, WI
Provider details
- NPI number
- 1689089740
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 10515-016 (WI)
Practice location
2555 N Martin Luther King Dr
Milwaukee, WI 53212-2709
Phone: (414) 372-8080
Fax: (414) 562-8432
Mailing address
2555 N Martin Luther King Dr
Milwaukee, WI 53212-2709
Registry dates
- Enumerated
- 2014-06-27
- Last updated
- 2014-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.