Individual ProviderMatthew James MidtlingDentistDental ProvidersPractice Address840 N. 87th Streeth, Sargeant Health Center, Milwaukee, WI 53226(414) 805-5760(651) 402-6593PECOS EnrollmentBased on the most recent information from CMS, provider Matthew James Midtling does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1497098255Provider TypeIndividualFull NameMidtling, Matthew JamesTitleDr.CredentialD.D.S.GenderMaleSole ProprietorNoEnumeration Date3/30/2013Last Updated10/3/2014Contact InformationPractice LocationPractice Address840 N. 87th Streeth, Sargeant Health Center, Milwaukee, WI 53226Phone(414) 805-5760Fax(414) 259-9115Mailing LocationMailing Address1910 Norhardt Dr, #105, Brookfield, WI 53045-5089Phone(651) 402-6593FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223S0112XPrimaryDescriptionDentistDental ProvidersLicense7269WisconsinCode1223P0106XDescriptionDentistDental ProvidersLicense7269WisconsinProvider IdentifiersIDDescriptionIssuerID1497098255DescriptionMedicaidIssuerUnlistedWisconsin