Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Daniel E Tache, DMD, FAGD

Individual provider Dentist · NPI 1174669634

Dr. Daniel E Tache, DMD, FAGD is an Oral Surgery in Wauwatosa, Wisconsin. Graduated from Tufts University School of Dental Medicine in 1974, 52 years ago. Practices with Lmg, Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
52
Trained at
Tufts University School of Dental Medicine
Licensed in
WI
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2626 N 76th St
Wauwatosa, WI 53213-1137
Phone: (414) 476-9400
Fax: (414) 774-7794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5089-15 (WI)

Record details

NPI number1174669634
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , FAGD
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESApril 12, 2010
Mailing address2626 N 76th St, Wauwatosa, WI 53213-1137

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolTUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated 1974 (52 years in practice)
Group practice Lmg, Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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