Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1730242710 Deactivated / Inactive NPI Male Practitioner

Dr. Paul J Kustermann , DDS

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, Dr. Paul Kustermann has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 19, 2006
NPI Deactivation Date October 09, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Kustermann, DDS was a registered Dentist practicing in Milwaukee, WI. Throughout an active medical career spanning 11 years, Dr. Kustermann provided care at the practice location at 1308 S 16TH STREET until profile deactivation on 2017-10-09.

Practice Location & Contact Primary Location

Practice Address

1308 S 16th Street

Milwaukee, WI 53204

Telephone 4143833220

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 5000536015

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

22 Associated Practitioners
NPI 1003942509

Doctor of Dental Surgery

Kory Pilkington , RDH

Dental Hygienist

NPI 1033360763

Registered Dental Hygienist

Ashley Weber , RDH

Dental Hygienist

NPI 1124410154

Registered Dental Hygienist

Lindsey Moelter

Dental Hygienist

NPI 1215333166
Amber Randle , RDH

Dental Hygienist

NPI 1336748516

Registered Dental Hygienist

Wendy Hoppe , RDH

Dental Hygienist

NPI 1447984638

Registered Dental Hygienist

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 09, 2017

Record deactivated on October 09, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1308 S 16TH STREET, MILWAUKEE, WI 53204 (Tel: 4143833220)

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Updated Business Mailing Address July 08, 2007

Registered at 2505 N BROOKFIELD ROAD, BROOKFIELD, WI 53045 (Tel: 2627824402)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL KUSTERMANN, DDS

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

Dentist (License #5000536015 in WI)

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Initial NPI Registration & Enumeration December 19, 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: 1730242710
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 19, 2006
Last Update: July 08, 2007
Deactivation Date: October 09, 2017

Mailing Address

2505 N Brookfield Road

Brookfield, WI 53045

Phone: 2627824402

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.