Mork Dental, Sc is a Dentist in Fountain City, Wisconsin. Mork Dental, Sc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mork Dental, Sc is 1457507329. The last update date is 2008-08-12.
Mork Dental, Sc's current location address is 34 N Main St, Fountain City, Wisconsin. You can contact this provider via phone number 6086873571. The mailing address for Mork Dental, Sc is 34 N Main St, Fountain City, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mork Dental, Sc |
|---|---|
| Address | 34 N Main St, Fountain City, Wisconsin |
| Phone Number | 6086873571 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mork M. Desiree |
| Credentials | D.D.S. |
| Telephone Number | 6086873571 |
NPI Number Detail
| NPI Number | 1457507329 |
|---|---|
| Provider Enumeration Date | 2008-08-12 |
| Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
| Address | 34 N Main St |
|---|---|
| City | Fountain City |
| State | Wisconsin (WI) |
| Post Code | 546298705 |
| Phone Number | 6086873571 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5882015 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33814900 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mork Dental, Sc by the Centers for Medicare & Medicaid Services?
The Mork Dental, Sc has been issued the NPI (National Provider Identifier) 1457507329. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mork Dental, Sc is physically located?
The Mork Dental, Sc is physically situated at the following address: 34 N Main St, Fountain City, WI, 546298705.
What is Mork Dental, Sc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mork Dental, Sc is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457507329 to Mork Dental, Sc?
The Mork Dental, Sc received its 1457507329 assignment from the Centers for Medicare & Medicaid Services on 2008-08-12.
When was the information regarding Mork Dental, Sc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mork Dental, Sc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-08-12.
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