John R Kregenow is a Dentist in Wausau, Wisconsin. John R Kregenow practices all healthcare services and medical treatments related to Dentist. The NPI Number for John R Kregenow is 1740205137. The last update date is 2007-07-08.
John R Kregenow's current location address is 1810 N 2nd St, Wausau, Wisconsin. You can contact this provider via phone number 7158484884 and fax number 7158455385. The mailing address for John R Kregenow is 1810 N 2nd St, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Kregenow |
|---|---|
| Address | 1810 N 2nd St, Wausau, Wisconsin |
| Phone Number | 7158484884 |
| Fax Number | 7158455385 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1740205137 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1810 N 2nd St |
|---|---|
| City | Wausau |
| State | Wisconsin (WI) |
| Post Code | 54403 |
| Phone Number | 7158484884 |
| Fax Number | 7158455385 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5002132-015 |
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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 |
|---|---|---|---|
| 33375000 | WI | -- |
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What is the unique identifier code issued to John R Kregenow by the Centers for Medicare & Medicaid Services?
The John R Kregenow has been assigned the NPI (National Provider Identifier) 1740205137. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John R Kregenow?
The John R Kregenow is situated at 1810 N 2Nd St, in the city of Wausau, state of WI, with the zip code 54403.
What is the John R Kregenow's specialty and taxonomy code?
The John R Kregenow's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date was the 1740205137 assigned to John R Kregenow?
The John R Kregenow was issued its 1740205137 on 2006-07-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to John R Kregenow most recently updated or revised?
The information pertaining to John R Kregenow, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.