Clarence E Kusik is a Dentist in Okauchee, Wisconsin. Clarence E Kusik practices all healthcare services and medical treatments related to Dentist. The NPI Number for Clarence E Kusik is 1245407550. The last update date is 2022-02-03.
Clarence E Kusik's current location address is N50 W34838 Wisconsin Ave., Okauchee, Wisconsin. You can contact this provider via phone number 2625673171. The mailing address for Clarence E Kusik is N50 W34838 Wisconsin Ave., Okauchee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clarence E Kusik |
|---|---|
| Address | N50 W34838 Wisconsin Ave., Okauchee, Wisconsin |
| Phone Number | 2625673171 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1245407550 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2022-02-03 |
Provider Mailing Address Detail
| Address | N50 W34838 Wisconsin Ave. |
|---|---|
| City | Okauchee |
| State | Wisconsin (WI) |
| Post Code | 53069 |
| Phone Number | 2625673171 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5000432015 |
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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 |
|---|---|---|---|
| 33506100 | WI | -- | |
| 1831369008 | MAYFAIR DENTAL S.C. | ||
| 38380800 | WI | -- |
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What is the unique 10-digit identification code issued to Clarence E Kusik by the Centers for Medicare & Medicaid Services?
The Clarence E Kusik has been assigned the NPI (National Provider Identifier) 1245407550 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Clarence E Kusik's facilities are situated?
The facilities of Clarence E Kusik are physically located at the following address: N50 W34838 Wisconsin Ave., Okauchee, WI, 53069.
What is the area of specialization for Clarence E Kusik, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clarence E Kusik is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Clarence E Kusik receive the assignment of its 1245407550 from the Centers for Medicare & Medicaid Services?
The Clarence E Kusik was issued its 1245407550 by the Centers for Medicare & Medicaid Services on 2008-05-15.
When was the information regarding Clarence E Kusik, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clarence E Kusik, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-02-03.