Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083826390 Individual Practitioner Male Practitioner

Dr. Mark R Boettcher , DDS

Dentist - General Practice • Brookfield, WI

Professional Overview & Biography Verified Profile Summary

Dr. Mark Boettcher, DDS is a registered healthcare professional specializing in Dentist - General Practice in Brookfield, WI. Practice services are available at 16905 WEST WISCONSIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16905 West Wisconsin Ave

Brookfield, WI 530055729

Telephone 2627544480
Fax 2627544470

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brookfield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
45 Specialists

Practicing in Brookfield, WI (2459 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 5001903015

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33363900 (WI)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 16905 WEST WISCONSIN AVE, BROOKFIELD, WI 530055729 (Tel: 2627544480)

📍
Updated Business Mailing Address July 08, 2007

Registered at 16905 WEST WISCONSIN AVE, BROOKFIELD, WI 530055729 (Tel: 2627544480)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK BOETTCHER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5001903015 in WI)

🟢
Initial NPI Registration & Enumeration May 07, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083826390
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

16905 West Wisconsin Ave

Brookfield, WI 530055729

Phone: 2627544480

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.