Blue Diamond Family Dental Sc in Bloomer - Dentist
Blue Diamond Family Dental Sc - NPI 1245433580
Blue Diamond Family Dental Sc is a Dentist in Bloomer, Wisconsin. Blue Diamond Family Dental Sc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Blue Diamond Family Dental Sc is 1245433580. The last update date is 2020-08-22.
Blue Diamond Family Dental Sc's current location address is 1502 Main St, Bloomer, Wisconsin. You can contact this provider via phone number 7155682363 and fax number 7155682373. The mailing address for Blue Diamond Family Dental Sc is 1502 Main St, Bloomer, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Blue Diamond Family Dental Sc |
|---|---|
| Address | 1502 Main St, Bloomer, Wisconsin |
| Phone Number | 7155682363 |
| Fax Number | 7155682373 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS M |
|---|---|
| Authorized Official Name | Parr C Connie |
| Telephone Number | 7155682363 |
NPI Number Detail
| NPI Number | 1245433580 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1502 Main St |
|---|---|
| City | Bloomer |
| State | Wisconsin (WI) |
| Post Code | 547241686 |
| Phone Number | 7155682363 |
| Fax Number | 7155682373 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38390300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Blue Diamond Family Dental Sc by the Centers for Medicare & Medicaid Services?
The Blue Diamond Family Dental Sc has been assigned the NPI (National Provider Identifier) 1245433580 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Blue Diamond Family Dental Sc?
The Blue Diamond Family Dental Sc is situated at 1502 Main St, in the city of Bloomer, state of WI, with the zip code 547241686.
What is Blue Diamond Family Dental Sc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Blue Diamond Family Dental Sc's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Blue Diamond Family Dental Sc receive its 1245433580 assignment from the Centers for Medicare & Medicaid Services?
The Blue Diamond Family Dental Sc was assigned its 1245433580 by the Centers for Medicare & Medicaid Services on 2007-06-06.
As of what date was the information pertaining to Blue Diamond Family Dental Sc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Blue Diamond Family Dental Sc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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