Zachary Adam Graf is a Dentist in Green Bay, Wisconsin. Zachary Adam Graf practices all healthcare services and medical treatments related to Dentist. The NPI Number for Zachary Adam Graf is 1316072093. The last update date is 2007-07-08.
Zachary Adam Graf's current location address is 1711 Shawano Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204949541 and fax number 9204942026. The mailing address for Zachary Adam Graf is 1711 Shawano Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Zachary Adam Graf |
|---|---|
| Address | 1711 Shawano Ave, Green Bay, Wisconsin |
| Phone Number | 9204949541 |
| Fax Number | 9204942026 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1316072093 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1711 Shawano Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 54303 |
| Phone Number | 9204949541 |
| Fax Number | 9204942026 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5170015 |
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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 |
|---|---|---|---|
| 33773200 | WI | -- |
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What is the unique 10-digit identifier code assigned to Zachary Adam Graf by the Centers for Medicare & Medicaid Services?
The Zachary Adam Graf has been issued the NPI (National Provider Identifier) 1316072093 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Zachary Adam Graf located?
The Zachary Adam Graf is located at 1711 Shawano Ave, Green Bay, WI 54303.
What is the Zachary Adam Graf's area of specialization and corresponding taxonomy classification?
The Zachary Adam Graf's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Zachary Adam Graf receive its 1316072093 assignment from the Centers for Medicare & Medicaid Services?
The Zachary Adam Graf was assigned its 1316072093 by the Centers for Medicare & Medicaid Services on 2007-02-22.
As of what date was the information regarding Zachary Adam Graf, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Zachary Adam Graf, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.