Michael Jon Vitense in Hartland - Dentist
Michael Jon Vitense - NPI 1548376635
Michael Jon Vitense is a Dentist in Hartland, Wisconsin. Michael Jon Vitense practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Jon Vitense is 1548376635. The last update date is 2007-07-08.
Michael Jon Vitense's current location address is 625 Walnut Ridge Dr Suite 102, Hartland, Wisconsin. You can contact this provider via phone number 2623674255 and fax number 2623674714. The mailing address for Michael Jon Vitense is 625 Walnut Ridge Dr Suite 102, Hartland, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Jon Vitense |
|---|---|
| Address | 625 Walnut Ridge Dr Suite 102, Hartland, Wisconsin |
| Phone Number | 2623674255 |
| Fax Number | 2623674714 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1548376635 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 625 Walnut Ridge Dr Suite 102 |
|---|---|
| City | Hartland |
| State | Wisconsin (WI) |
| Post Code | 53029 |
| Phone Number | 2623674255 |
| Fax Number | 2623674714 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1722-G |
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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 identifier code issued to Michael Jon Vitense by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Jon Vitense has been assigned the NPI (National Provider Identifier) 1548376635. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Michael Jon Vitense's facilities are situated?
The facilities of Michael Jon Vitense are physically located at the following address: 625 Walnut Ridge Dr Suite 102, Hartland, WI, 53029.
What is the Michael Jon Vitense's specialty and taxonomy code?
The Michael Jon Vitense's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did Michael Jon Vitense receive its 1548376635 assignment?
The Michael Jon Vitense was assigned its 1548376635 on 2006-08-22, which is the date when this unique identifier was issued to the organization.
As of what date were the Michael Jon Vitense's details last updated?
The information pertaining to the Michael Jon Vitense, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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