Smile Clinic, S.C. in Manitowoc - Dentist

Smile Clinic, S.C. - NPI 1598878142

Smile Clinic, S.C. is a Dentist in Manitowoc, Wisconsin. Smile Clinic, S.C. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Smile Clinic, S.C. is 1598878142. The last update date is 2020-08-22.

Smile Clinic, S.C.'s current location address is 1602 N 18th St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206829131 and fax number 9206829799. The mailing address for Smile Clinic, S.C. is 1602 N 18th St, Manitowoc, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Smile Clinic, S.C.
Address 1602 N 18th St, Manitowoc, Wisconsin
Phone Number 9206829131
Fax Number 9206829799
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Behringer Martin Scott
Credentials DDS
Telephone Number 9206829131

NPI Number Detail

NPI Number 1598878142
Provider Enumeration Date 2006-08-17
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1602 N 18th St
City Manitowoc
State Wisconsin (WI)
Post Code 542201858
Phone Number 9206829131
Fax Number 9206829799

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 1788
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
840836W WI UNITED CONCORDIA
1788 WI DELTA DENTAL
389569136002 WI BLUE CROSS BLUE SHIELD

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FAQs about Smile Clinic, S.C.

What is the unique 10-digit identification code issued to Smile Clinic, S.C. by the Centers for Medicare & Medicaid Services?

The Smile Clinic, S.C. has been assigned the NPI (National Provider Identifier) 1598878142 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Smile Clinic, S.C. located?

The Smile Clinic, S.C. is located at 1602 N 18Th St, Manitowoc, WI 542201858.

What is Smile Clinic, S.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Smile Clinic, S.C. is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1598878142 to Smile Clinic, S.C.?

The Smile Clinic, S.C. received its 1598878142 assignment from the Centers for Medicare & Medicaid Services on 2006-08-17.

As of what date were the Smile Clinic, S.C.'s details last updated?

The information pertaining to the Smile Clinic, S.C., including its address, specialty, and other details, was most recently updated on 2020-08-22.

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