Brian D Klockow is a Dentist in Wabeno, Wisconsin. Brian D Klockow practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brian D Klockow is 1881605921. The last update date is 2007-07-08.
Brian D Klockow's current location address is Po Box 161, Wabeno, Wisconsin. You can contact this provider via phone number 7154736711. The mailing address for Brian D Klockow is Po Box 161, Wabeno, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brian D Klockow |
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Address | Po Box 161, Wabeno, Wisconsin |
Phone Number | 7154736711 |
Fax Number | |
Sole Proprietor | N |
Credentials | DDS |
NPI Number Detail
NPI Number | 1881605921 |
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Provider Enumeration Date | 2006-08-11 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 161 |
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City | Wabeno |
State | Wisconsin (WI) |
Post Code | 545660161 |
Phone Number | 7154736711 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 2274 |
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 |
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33386800 | WI | -- |
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What is the unique identifier code issued to Brian D Klockow by the Centers for Medicare & Medicaid Services?
The Brian D Klockow has been assigned the NPI (National Provider Identifier) 1881605921. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brian D Klockow?
The Brian D Klockow is physically situated at Po Box 161, in the city of Wabeno, state of WI, with the postal code 545660161.
What is Brian D Klockow's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brian D Klockow's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
When did Brian D Klockow receive its 1881605921 assignment?
The Brian D Klockow was assigned its 1881605921 on 2006-08-11, which is the date when this unique identifier was issued to the organization.
As of what date were the Brian D Klockow's details last updated?
The information pertaining to the Brian D Klockow, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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