Ebben & Pynenberg Dds Sc in Little Chute - Dentist
Ebben & Pynenberg Dds Sc - NPI 1164550208
Ebben & Pynenberg Dds Sc is a Dentist in Little Chute, Wisconsin. Ebben & Pynenberg Dds Sc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ebben & Pynenberg Dds Sc is 1164550208. The last update date is 2020-08-22.
Ebben & Pynenberg Dds Sc's current location address is 607 Wilson St, Little Chute, Wisconsin. You can contact this provider via phone number 9207883542 and fax number 9207886741. The mailing address for Ebben & Pynenberg Dds Sc is 607 Wilson St, Little Chute, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Ebben & Pynenberg Dds Sc |
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Address | 607 Wilson St, Little Chute, Wisconsin |
Phone Number | 9207883542 |
Fax Number | 9207886741 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Ebben Charles Michael |
Credentials | DDS |
Telephone Number | 9207883542 |
NPI Number Detail
NPI Number | 1164550208 |
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Provider Enumeration Date | 2007-03-01 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 607 Wilson St |
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City | Little Chute |
State | Wisconsin (WI) |
Post Code | 54140 |
Phone Number | 9207883542 |
Fax Number | 9207886741 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 4142 |
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 Ebben & Pynenberg Dds Sc by the Centers for Medicare & Medicaid Services (CMS)?
The Ebben & Pynenberg Dds Sc has been assigned the NPI (National Provider Identifier) 1164550208. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Ebben & Pynenberg Dds Sc's physical address?
The Ebben & Pynenberg Dds Sc is physically located at 607 Wilson St, in the city of Little Chute, WI, with the postal code 54140.
What is Ebben & Pynenberg Dds Sc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ebben & Pynenberg Dds Sc is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When did the Ebben & Pynenberg Dds Sc receive its 1164550208?
The Ebben & Pynenberg Dds Sc was issued its 1164550208 on 2007-03-01, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Ebben & Pynenberg Dds Sc most recently updated or revised?
The information pertaining to Ebben & Pynenberg Dds Sc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.