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Active NPI 1104911239 Individual Practitioner Male Practitioner

Dr. Emmanuel Igwike , DDS

Dentist - General Practice • Brown Deer, WI

Professional Overview & Biography Verified Profile Summary

Dr. Emmanuel Igwike, DDS is a registered healthcare professional specializing in Dentist - General Practice in Brown Deer, WI. Practice services are available at 4141 W BRADLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4141 W Bradley Rd
Suite 214

Brown Deer, WI 532091700

Telephone 4143712506
Associated Practice Facility / Clinic
🏢 Bradley Family Dental Group, Inc. Facility NPI 1851607600

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brown Deer, WI

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

Practicing in Brown Deer, 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 5519

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
33778800 (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 4141 W BRADLEY RD, SUITE 214, BROWN DEER, WI 532091700 (Tel: 4143712506)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4141 W BRADLEY RD, SUITE 214, BROWN DEER, WI 532091700 (Tel: 4143712506)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EMMANUEL IGWIKE, DDS

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

Dentist (License #5519 in WI)

🟢
Initial NPI Registration & Enumeration October 04, 2006

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: 1104911239
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

4141 W Bradley Rd, Suite 214

Brown Deer, WI 532091700

Phone: 4143712506

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.