Steven L Mccormack in St. Croix Falls - Dentist
Steven L Mccormack - NPI 1407963051
Steven L Mccormack is a Dentist in St. Croix Falls, Wisconsin. Steven L Mccormack practices all healthcare services and medical treatments related to Dentist. The NPI Number for Steven L Mccormack is 1407963051. The last update date is 2011-05-26.
Steven L Mccormack's current location address is 117 North Washington St., St. Croix Falls, Wisconsin. You can contact this provider via phone number 7154833570 and fax number 7154835699. The mailing address for Steven L Mccormack is 117 North Washington St., St. Croix Falls, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven L Mccormack |
|---|---|
| Address | 117 North Washington St., St. Croix Falls, Wisconsin |
| Phone Number | 7154833570 |
| Fax Number | 7154835699 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1407963051 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2011-05-26 |
Provider Mailing Address Detail
| Address | 117 North Washington St. |
|---|---|
| City | St. Croix Falls |
| State | Wisconsin (WI) |
| Post Code | 54024 |
| Phone Number | 7154833570 |
| Fax Number | 7154835699 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4102 |
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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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What is the unique identifier code issued to Steven L Mccormack by the Centers for Medicare & Medicaid Services (CMS)?
The Steven L Mccormack has been assigned the NPI (National Provider Identifier) 1407963051. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Steven L Mccormack's facilities are geographically located?
The facilities of Steven L Mccormack are physically situated at the following location: 117 North Washington St., St. Croix Falls, WI, 54024.
What is Steven L Mccormack's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Steven L Mccormack is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Steven L Mccormack receive the assignment of its 1407963051 from the Centers for Medicare & Medicaid Services?
The Steven L Mccormack was issued its 1407963051 by the Centers for Medicare & Medicaid Services on 2006-08-23.
When was the Steven L Mccormack's information last updated?
The Steven L Mccormack's information was last updated on 2011-05-26.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV