Richard Leslie Hafdahl in Osceola - Dentist

Richard Leslie Hafdahl - NPI 1477653277

Richard Leslie Hafdahl is a Dentist in Osceola, Wisconsin. Richard Leslie Hafdahl practices all healthcare services and medical treatments related to Dentist. The NPI Number for Richard Leslie Hafdahl is 1477653277. The last update date is 2007-07-08.

Richard Leslie Hafdahl's current location address is 114 Cascade St., Osceola, Wisconsin. You can contact this provider via phone number 7152942334 and fax number 7152942220. The mailing address for Richard Leslie Hafdahl is 114 Cascade St., Osceola, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Leslie Hafdahl
Address 114 Cascade St., Osceola, Wisconsin
Phone Number 7152942334
Fax Number 7152942220
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1477653277
Provider Enumeration Date 2006-09-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 114 Cascade St.
City Osceola
State Wisconsin (WI)
Post Code 540200387
Phone Number 7152942334
Fax Number 7152942220

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 5001118
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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FAQs about Richard Leslie Hafdahl

What is the unique identification code assigned to Richard Leslie Hafdahl by the Centers for Medicare & Medicaid Services?

The Richard Leslie Hafdahl has been issued the NPI (National Provider Identifier) 1477653277. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Richard Leslie Hafdahl?

The Richard Leslie Hafdahl is physically situated at 114 Cascade St., in the city of Osceola, state of WI, with the postal code 540200387.

What is Richard Leslie Hafdahl's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Richard Leslie Hafdahl is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Richard Leslie Hafdahl receive the assignment of its 1477653277 from the Centers for Medicare & Medicaid Services?

The Richard Leslie Hafdahl was issued its 1477653277 by the Centers for Medicare & Medicaid Services on 2006-09-22.

When was the information regarding Richard Leslie Hafdahl most recently updated?

The details pertaining to the Richard Leslie Hafdahl, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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