Northwoods Oral And Maxillofacial Surgery Sc in Minocqua - Dentist

Northwoods Oral And Maxillofacial Surgery Sc - NPI 1346460441

Northwoods Oral And Maxillofacial Surgery Sc is a Dentist in Minocqua, Wisconsin. Northwoods Oral And Maxillofacial Surgery Sc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Northwoods Oral And Maxillofacial Surgery Sc is 1346460441. The last update date is 2007-09-17.

Northwoods Oral And Maxillofacial Surgery Sc's current location address is Po Box 1027, Minocqua, Wisconsin. You can contact this provider via phone number 7153583321. The mailing address for Northwoods Oral And Maxillofacial Surgery Sc is Po Box 1027, Minocqua, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northwoods Oral And Maxillofacial Surgery Sc
Address Po Box 1027, Minocqua, Wisconsin
Phone Number 7153583321
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Kosmen Michael John
Credentials DDS
Telephone Number 7153583321

NPI Number Detail

NPI Number 1346460441
Provider Enumeration Date 2007-04-30
Last Updated Date 2007-09-17

Provider Mailing Address Detail

Address Po Box 1027
City Minocqua
State Wisconsin (WI)
Post Code 53548
Phone Number 7153583321
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 4694
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
33727700 WI --

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FAQs about Northwoods Oral And Maxillofacial Surgery Sc

What is the unique 10-digit identification code assigned to Northwoods Oral And Maxillofacial Surgery Sc by the Centers for Medicare & Medicaid Services?

The Northwoods Oral And Maxillofacial Surgery Sc has been issued the NPI (National Provider Identifier) 1346460441, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Northwoods Oral And Maxillofacial Surgery Sc is physically located?

The Northwoods Oral And Maxillofacial Surgery Sc is physically situated at the following address: Po Box 1027, Minocqua, WI, 53548.

What is Northwoods Oral And Maxillofacial Surgery Sc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Northwoods Oral And Maxillofacial Surgery Sc is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did Northwoods Oral And Maxillofacial Surgery Sc receive its 1346460441 assignment from the Centers for Medicare & Medicaid Services?

The Northwoods Oral And Maxillofacial Surgery Sc was assigned its 1346460441 on 2007-04-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Northwoods Oral And Maxillofacial Surgery Sc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Northwoods Oral And Maxillofacial Surgery Sc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-09-17.

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