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Deactivated NPI 1417112145 Deactivated / Inactive NPI Male Practitioner

Jack T Sneesby

Dentist • Milwaukee, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jack Sneesby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 22, 2008
NPI Deactivation Date October 17, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

Jack Sneesby was a registered Dentist practicing in Milwaukee, WI. Throughout an active medical career spanning 9 years, Jack Sneesby provided care at the practice location at 1801 W WISCONSIN AVE until profile deactivation on 2017-10-17.

Practice Location & Contact Primary Location

Practice Address

1801 W Wisconsin Ave

Milwaukee, WI 532332186

Telephone 4142885902
Fax 4142888361
Associated Practice Facility / Clinic
🏢 Marquette University Facility NPI 1013937499

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Milwaukee, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.3 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
216 Specialists

Practicing in Milwaukee, WI (1850 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WI 4001006-0185

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Hugh Murdoch , DDS

Dentist - General Practice

NPI 1033395595

Doctor of Dental Surgery

NPI 1316102700
Dr. Peter Jacobsohn , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1386810828

Doctor of Dental Surgery

Dr. Robert Schaub , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1598932634

Doctor of Dental Surgery

Dr. Clark Sweeney , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1720202203

Doctor of Dental Surgery

Dr. Ghada Nimeri , DDS, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1740731850

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 17, 2017

Record deactivated on October 17, 2017

NPI Profile Active July 22, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 22, 2008

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186 (Tel: 4142885902)

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Updated Business Mailing Address July 22, 2008

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186 (Tel: 4142885902)

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Provider Name / Credentials Updated July 22, 2008

Recorded as JACK SNEESBY

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2008

Dentist (License #4001006-0185 in WI)

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Initial NPI Registration & Enumeration July 22, 2008

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: 1417112145
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2008
Last Update: July 22, 2008
Deactivation Date: October 17, 2017

Mailing Address

1801 W Wisconsin Ave

Milwaukee, WI 532332186

Phone: 4142885902

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.