Provider Demographics
NPI:1679730238
Name:VOELKER, THOMAS F (DENTIST)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:F
Last Name:VOELKER
Suffix:
Gender:M
Credentials:DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3228 TURNBERRY OAK DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188
Mailing Address - Country:US
Mailing Address - Phone:262-544-0171
Mailing Address - Fax:262-544-0108
Practice Address - Street 1:2340 W SAINT PAUL AVE
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-5942
Practice Address - Country:US
Practice Address - Phone:262-544-0171
Practice Address - Fax:262-544-0108
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI50018510151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI391398158OtherNUMBER GIVEN TO INSURANCE COMPANIES