Individual provider · Type 1 NPI
Jerome Michael Teclaw, DDS
General Practice Dentistry · Milwaukee, WI
NPI number
1669439642
Active
Practice location
131 W Layton Ave, Suite 305
Milwaukee, WI 53207-5941
Fax (414) 769-1130
Mailing address
3959 N Harcourt Pl
Shorewood, WI 53211-2445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 02745 (WI) |
General Practice Dentistry: 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.
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About NPI 1669439642
Jerome Michael Teclaw, DDS's National Provider Identifier is 1669439642, issued on Apr 26, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 13, 2026.