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Active NPI 1699205336 Individual Practitioner Male Practitioner

Dr. Patrick T Clancy , DDS

Dentist - General Practice • Wauwatosa, WI

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Clancy, DDS is a registered healthcare professional specializing in Dentist - General Practice in Wauwatosa, WI. Practice services are available at 11904 W NORTH AVE STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11904 W North Ave Ste 105

Wauwatosa, WI 532262062

Telephone 4144540700
Associated Practice Facility / Clinic
🏢 Wauwatosa Family Dental Facility NPI 1821580572

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wauwatosa, WI

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

Practicing in Wauwatosa, 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

CMS Verified: 2020-05-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 1001596-15

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Lauren Sterner

Dentist - General Practice

NPI 1285089862
NPI 1427180843

Doctor of Dental Surgery

Dr. Bradley Morgen , DDS

Dentist - General Practice

NPI 1871120535

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location May 21, 2020

Registered at 11904 W NORTH AVE STE 105, WAUWATOSA, WI 532262062 (Tel: 4144540700)

📍
Updated Business Mailing Address May 21, 2020

Registered at 11904 W NORTH AVE STE 105, WAUWATOSA, WI 532262062 (Tel: 6082254856)

NPI Profile Active June 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2017

Registered at 1625 W PARADISE DR, WEST BEND, WI 530957846 (Tel: 2623382992)

📍
Updated Business Mailing Address June 15, 2017

Registered at 1550 RIVERS BND APT 410, WAUWATOSA, WI 532263070 (Tel: 6082254856)

👤
Provider Name / Credentials Updated June 15, 2017

Recorded as PATRICK CLANCY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2017

Dentist (License #1001596-15 in WI)

🟢
Initial NPI Registration & Enumeration June 15, 2017

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: 1699205336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2017
Last Update: May 21, 2020
Sole Proprietor: No

Mailing Address

11904 W North Ave Ste 105

Wauwatosa, WI 532262062

Phone: 6082254856

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.