Falls Dental Group Llc in Menomonee Falls - Dentist
Falls Dental Group Llc - NPI 1962533588
Falls Dental Group Llc is a Dentist in Menomonee Falls, Wisconsin. Falls Dental Group Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Falls Dental Group Llc is 1962533588. The last update date is 2020-08-22.
Falls Dental Group Llc's current location address is N88w17001 Main St, Menomonee Falls, Wisconsin. You can contact this provider via phone number 2622516070 and fax number 2622509000. The mailing address for Falls Dental Group Llc is N88w17001 Main St, Menomonee Falls, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Falls Dental Group Llc |
|---|---|
| Address | N88w17001 Main St, Menomonee Falls, Wisconsin |
| Phone Number | 2622516070 |
| Fax Number | 2622509000 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pittman Gene N. |
| Credentials | D.D.S. |
| Telephone Number | 2622516070 |
NPI Number Detail
| NPI Number | 1962533588 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | N88w17001 Main St |
|---|---|
| City | Menomonee Falls |
| State | Wisconsin (WI) |
| Post Code | 530512828 |
| Phone Number | 2622516070 |
| Fax Number | 2622509000 |
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 Falls Dental Group Llc's 1962533588?
The Falls Dental Group Llc's NPI (National Provider Identifier) Number is 1962533588. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Falls Dental Group Llc located?
The Falls Dental Group Llc is located at N88W17001 Main St, Menomonee Falls, WI 530512828.
What is Falls Dental Group Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Falls Dental Group Llc is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Falls Dental Group Llc receive its 1962533588 assignment from the Centers for Medicare & Medicaid Services?
The Falls Dental Group Llc was assigned its 1962533588 by the Centers for Medicare & Medicaid Services on 2007-03-07.
As of what date were the details related to Falls Dental Group Llc most recently updated or revised?
The information pertaining to Falls Dental Group Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.