Northstar Dental Grp in Appleton - Dentist
Northstar Dental Grp - NPI 1679553093
Northstar Dental Grp is a Dentist in Appleton, Wisconsin. Northstar Dental Grp practices all healthcare services and medical treatments related to Dentist. The NPI Number for Northstar Dental Grp is 1679553093. The last update date is 2020-08-22.
Northstar Dental Grp's current location address is 5760 Grand Market Dr, Appleton, Wisconsin. You can contact this provider via phone number 9209971557 and fax number 9209970688. The mailing address for Northstar Dental Grp is 5760 Grand Market Dr, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northstar Dental Grp |
|---|---|
| Address | 5760 Grand Market Dr, Appleton, Wisconsin |
| Phone Number | 9209971557 |
| Fax Number | 9209970688 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DENT |
|---|---|
| Authorized Official Name | Hehli D Peter |
| Credentials | DDS |
| Telephone Number | 9209971557 |
NPI Number Detail
| NPI Number | 1679553093 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5760 Grand Market Dr |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 54913 |
| Phone Number | 9209971557 |
| Fax Number | 9209970688 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Northstar Dental Grp by the Centers for Medicare & Medicaid Services?
The Northstar Dental Grp has been assigned the NPI (National Provider Identifier) 1679553093 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Northstar Dental Grp's facilities are situated?
The facilities of Northstar Dental Grp are physically located at the following address: 5760 Grand Market Dr, Appleton, WI, 54913.
What is Northstar Dental Grp's area of expertise and its corresponding taxonomy classification?
The Northstar Dental Grp's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1679553093 to Northstar Dental Grp?
The Northstar Dental Grp received its 1679553093 assignment from the Centers for Medicare & Medicaid Services on 2006-01-20.
As of what date was the information regarding Northstar Dental Grp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Northstar Dental Grp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.