Zander Dental Sc is a Dentist in Shawano, Wisconsin. Zander Dental Sc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Zander Dental Sc is 1073598165. The last update date is 2020-08-22.
Zander Dental Sc's current location address is 152 Woodlawn Dr, Shawano, Wisconsin. You can contact this provider via phone number 7155263314 and fax number 7155249893. The mailing address for Zander Dental Sc is 152 Woodlawn Dr, Shawano, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Zander Dental Sc |
|---|---|
| Address | 152 Woodlawn Dr, Shawano, Wisconsin |
| Phone Number | 7155263314 |
| Fax Number | 7155249893 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Zander L Jeffrey |
| Credentials | DDS |
| Telephone Number | 7155263314 |
NPI Number Detail
| NPI Number | 1073598165 |
|---|---|
| Provider Enumeration Date | 2005-12-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 152 Woodlawn Dr |
|---|---|
| City | Shawano |
| State | Wisconsin (WI) |
| Post Code | 541662200 |
| Phone Number | 7155263314 |
| Fax Number | 7155249893 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2262015 |
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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 |
|---|---|---|---|
| 33386000 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Zander Dental Sc?
The Zander Dental Sc has been issued the NPI (National Provider Identifier) 1073598165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Zander Dental Sc is geographically located?
The Zander Dental Sc is physically situated at the following location: 152 Woodlawn Dr, Shawano, WI, 541662200.
What is the Zander Dental Sc's area of specialization and corresponding taxonomy classification?
The Zander Dental Sc's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1073598165 to Zander Dental Sc?
The Centers for Medicare & Medicaid Services originally issued the 1073598165 to Zander Dental Sc on 2005-12-12.
As of what date was the information regarding Zander Dental Sc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Zander Dental Sc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
NPI Number: 1588667679
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