Lakeshore Family Dental Care Sc in Racine - Dentist

Lakeshore Family Dental Care Sc - NPI 1215058532

Lakeshore Family Dental Care Sc is a Dentist in Racine, Wisconsin. Lakeshore Family Dental Care Sc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Lakeshore Family Dental Care Sc is 1215058532. The last update date is 2020-08-22.

Lakeshore Family Dental Care Sc's current location address is Po Box 044290, Racine, Wisconsin. You can contact this provider via phone number 2626391272 and fax number 2626398870. The mailing address for Lakeshore Family Dental Care Sc is Po Box 044290, Racine, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lakeshore Family Dental Care Sc
Address Po Box 044290, Racine, Wisconsin
Phone Number 2626391272
Fax Number 2626398870
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Oshiro J Edward
Credentials DDS
Telephone Number 2626391272

NPI Number Detail

NPI Number 1215058532
Provider Enumeration Date 2007-04-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 044290
City Racine
State Wisconsin (WI)
Post Code 53404
Phone Number 2626391272
Fax Number 2626398870

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 3520
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
33487600 EDS TITLE 19

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FAQs about Lakeshore Family Dental Care Sc

What is the unique 10-digit identifier code assigned to Lakeshore Family Dental Care Sc by the Centers for Medicare & Medicaid Services?

The Lakeshore Family Dental Care Sc has been issued the NPI (National Provider Identifier) 1215058532 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Lakeshore Family Dental Care Sc?

The Lakeshore Family Dental Care Sc is physically situated at Po Box 044290, in the city of Racine, state of WI, with the postal code 53404.

What is Lakeshore Family Dental Care Sc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Lakeshore Family Dental Care Sc is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date was the 1215058532 assigned to Lakeshore Family Dental Care Sc?

The Lakeshore Family Dental Care Sc was issued its 1215058532 on 2007-04-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Lakeshore Family Dental Care Sc's information last updated?

The Lakeshore Family Dental Care Sc's information was last updated on 2020-08-22.

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