Racine Dental Group S C in Racine - Dentist

Racine Dental Group S C - NPI 1801941570

Racine Dental Group S C is a Dentist in Racine, Wisconsin. Racine Dental Group S C practices all healthcare services and medical treatments related to Dentist. The NPI Number for Racine Dental Group S C is 1801941570. The last update date is 2022-07-21.

Racine Dental Group S C's current location address is 1320 S Greenbay Rd, Racine, Wisconsin. You can contact this provider via phone number 2626379371 and fax number 2626197727. The mailing address for Racine Dental Group S C is 1320 S Greenbay Rd, Racine, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Racine Dental Group S C
Address 1320 S Greenbay Rd, Racine, Wisconsin
Phone Number 2626379371
Fax Number 2626197727
Sole Proprietor --
Credentials --

Authorized Official

Title or Position HIPAA OFFI
Authorized Official Name O'Laughlin Janice
Telephone Number 2626379371

NPI Number Detail

NPI Number 1801941570
Provider Enumeration Date 2007-01-24
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 1320 S Greenbay Rd
City Racine
State Wisconsin (WI)
Post Code 534064406
Phone Number 2626379371
Fax Number 2626197727

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
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
38393900 WI --

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FAQs about Racine Dental Group S C

What is the unique 10-digit identifier code assigned to Racine Dental Group S C by the Centers for Medicare & Medicaid Services?

The Racine Dental Group S C has been issued the NPI (National Provider Identifier) 1801941570 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 Racine Dental Group S C?

The Racine Dental Group S C is physically situated at 1320 S Greenbay Rd, in the city of Racine, state of WI, with the postal code 534064406.

What is Racine Dental Group S C'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 Racine Dental Group S C is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did Racine Dental Group S C receive its 1801941570 assignment from the Centers for Medicare & Medicaid Services?

The Racine Dental Group S C was assigned its 1801941570 on 2007-01-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Racine Dental Group S C's information last updated?

The Racine Dental Group S C's information was last updated on 2022-07-21.

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