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 |
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Provider Enumeration Date | 2007-04-03 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | Po Box 044290 |
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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 |
Post Comment/ Review Below
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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