Daniel R Boettcher in Manitowoc - Dentist
Daniel R Boettcher - NPI 1801889043
Daniel R Boettcher is a Dentist in Manitowoc, Wisconsin. Daniel R Boettcher practices all healthcare services and medical treatments related to Dentist. The NPI Number for Daniel R Boettcher is 1801889043. The last update date is 2007-07-08.
Daniel R Boettcher's current location address is 1503 Randolph Ct, Manitowoc, Wisconsin. You can contact this provider via phone number 9206820321 and fax number 9206823128. The mailing address for Daniel R Boettcher is 1503 Randolph Ct, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel R Boettcher |
|---|---|
| Address | 1503 Randolph Ct, Manitowoc, Wisconsin |
| Phone Number | 9206820321 |
| Fax Number | 9206823128 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1801889043 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1503 Randolph Ct |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542208345 |
| Phone Number | 9206820321 |
| Fax Number | 9206823128 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4609 |
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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 |
|---|---|---|---|
| 33727300 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Daniel R Boettcher by the Centers for Medicare & Medicaid Services (CMS)?
The Daniel R Boettcher has been assigned the NPI (National Provider Identifier) 1801889043. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Daniel R Boettcher is physically located?
The Daniel R Boettcher is situated at the following address: 1503 Randolph Ct, Manitowoc, WI 542208345.
What is Daniel R Boettcher's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Daniel R Boettcher is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Daniel R Boettcher receive the assignment of its 1801889043 from the Centers for Medicare & Medicaid Services?
The Daniel R Boettcher was issued its 1801889043 by the Centers for Medicare & Medicaid Services on 2005-08-23.
When was the Daniel R Boettcher's information last updated?
The Daniel R Boettcher's information was last updated on 2007-07-08.