Eastridge Dental Associates, S.C. in Green Bay - Dentist
Eastridge Dental Associates, S.C. - NPI 1184775892
Eastridge Dental Associates, S.C. is a Dentist in Green Bay, Wisconsin. Eastridge Dental Associates, S.C. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eastridge Dental Associates, S.C. is 1184775892. The last update date is 2008-07-01.
Eastridge Dental Associates, S.C.'s current location address is 2343 E. Mason Street, Green Bay, Wisconsin. You can contact this provider via phone number 9204688144. The mailing address for Eastridge Dental Associates, S.C. is 2343 E. Mason Street, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastridge Dental Associates, S.C. |
|---|---|
| Address | 2343 E. Mason Street, Green Bay, Wisconsin |
| Phone Number | 9204688144 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Patrickus E. John |
| Credentials | DDS |
| Telephone Number | 9204688144 |
NPI Number Detail
| NPI Number | 1184775892 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2008-07-01 |
Provider Mailing Address Detail
| Address | 2343 E. Mason Street |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 54302 |
| Phone Number | 9204688144 |
| Fax Number |
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 |
|
Post Comment/ Review Below
What is the Eastridge Dental Associates, S.C.'s unique identification number?
The Eastridge Dental Associates, S.C. has been assigned the NPI (National Provider Identifier) Number 1184775892 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Eastridge Dental Associates, S.C.'s facilities are geographically located?
The facilities of Eastridge Dental Associates, S.C. are physically situated at the following location: 2343 E. Mason Street, Green Bay, WI, 54302.
What is Eastridge Dental Associates, S.C.'s area of expertise and its corresponding taxonomy classification?
The Eastridge Dental Associates, S.C.'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 Eastridge Dental Associates, S.C. receive its 1184775892 assignment from the Centers for Medicare & Medicaid Services?
The Eastridge Dental Associates, S.C. was assigned its 1184775892 on 2007-01-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Eastridge Dental Associates, S.C. most recently updated or refreshed?
The details pertaining to the Eastridge Dental Associates, S.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-01.