Black River Family Dentistry Ltd in Black River Falls - Dentist
Black River Family Dentistry Ltd - NPI 1285778969
Black River Family Dentistry Ltd is a Dentist in Black River Falls, Wisconsin. Black River Family Dentistry Ltd practices all healthcare services and medical treatments related to Dentist. The NPI Number for Black River Family Dentistry Ltd is 1285778969. The last update date is 2020-08-22.
Black River Family Dentistry Ltd's current location address is N6625 County Hwy A, Black River Falls, Wisconsin. You can contact this provider via phone number 7152843100 and fax number 7152848115. The mailing address for Black River Family Dentistry Ltd is N6625 County Hwy A, Black River Falls, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Black River Family Dentistry Ltd |
|---|---|
| Address | N6625 County Hwy A, Black River Falls, Wisconsin |
| Phone Number | 7152843100 |
| Fax Number | 7152848115 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DOCT |
|---|---|
| Authorized Official Name | Herzberg A Elizabeth |
| Credentials | DDS |
| Telephone Number | 7152843100 |
NPI Number Detail
| NPI Number | 1285778969 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | N6625 County Hwy A |
|---|---|
| City | Black River Falls |
| State | Wisconsin (WI) |
| Post Code | 54615 |
| Phone Number | 7152843100 |
| Fax Number | 7152848115 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | S149015 |
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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 assigned to Black River Family Dentistry Ltd by the Centers for Medicare & Medicaid Services?
The Black River Family Dentistry Ltd has been issued the NPI (National Provider Identifier) 1285778969 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Black River Family Dentistry Ltd is physically located?
The Black River Family Dentistry Ltd is physically situated at the following address: N6625 County Hwy A, Black River Falls, WI, 54615.
What is Black River Family Dentistry Ltd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Black River Family Dentistry Ltd's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date was the 1285778969 assigned to Black River Family Dentistry Ltd?
The Black River Family Dentistry Ltd was issued its 1285778969 on 2007-02-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Black River Family Dentistry Ltd's details last updated?
The information pertaining to the Black River Family Dentistry Ltd, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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