Wisconsin Dental Group, S.C. in Kenosha - Dentist
Wisconsin Dental Group, S.C. - NPI 1437289006
Wisconsin Dental Group, S.C. is a Dentist in Kenosha, Wisconsin. Wisconsin Dental Group, S.C. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wisconsin Dental Group, S.C. is 1437289006. The last update date is 2022-05-03.
Wisconsin Dental Group, S.C.'s current location address is 3715 Washington Rd, Kenosha, Wisconsin. You can contact this provider via phone number 4143516010 and fax number 4143516148. The mailing address for Wisconsin Dental Group, S.C. is 3715 Washington Rd, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wisconsin Dental Group, S.C. |
|---|---|
| Address | 3715 Washington Rd, Kenosha, Wisconsin |
| Phone Number | 4143516010 |
| Fax Number | 4143516148 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Hayes Celia |
| Telephone Number | 2175402100 |
NPI Number Detail
| NPI Number | 1437289006 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2022-05-03 |
Provider Mailing Address Detail
| Address | 3715 Washington Rd |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531441629 |
| Phone Number | 4143516010 |
| Fax Number | 4143516148 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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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 10-digit identification code assigned to Wisconsin Dental Group, S.C. by the Centers for Medicare & Medicaid Services?
The Wisconsin Dental Group, S.C. has been issued the NPI (National Provider Identifier) 1437289006, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Wisconsin Dental Group, S.C. is physically located?
The Wisconsin Dental Group, S.C. is situated at the following address: 3715 Washington Rd, Kenosha, WI 531441629.
What is the Wisconsin Dental Group, S.C.'s specialty and taxonomy code?
The Wisconsin Dental Group, S.C.'s specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Wisconsin Dental Group, S.C. receive its 1437289006 assignment from the Centers for Medicare & Medicaid Services?
The Wisconsin Dental Group, S.C. was assigned its 1437289006 on 2007-03-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Wisconsin Dental Group, S.C. last refreshed?
The information related to the Wisconsin Dental Group, S.C., including its address, specialty, and other relevant details, was last updated on 2022-05-03.
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