Wauwatosa Dental Group Sc in Wauwatosa - Dentist
Wauwatosa Dental Group Sc - NPI 1104885482
Wauwatosa Dental Group Sc is a Dentist in Wauwatosa, Wisconsin. Wauwatosa Dental Group Sc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wauwatosa Dental Group Sc is 1104885482. The last update date is 2020-08-22.
Wauwatosa Dental Group Sc's current location address is 2600 N Mayfair Rd, Wauwatosa, Wisconsin. You can contact this provider via phone number 4142573366 and fax number 4142581390. The mailing address for Wauwatosa Dental Group Sc is 2600 N Mayfair Rd, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Wauwatosa Dental Group Sc |
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Address | 2600 N Mayfair Rd, Wauwatosa, Wisconsin |
Phone Number | 4142573366 |
Fax Number | 4142581390 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Dickinson M John |
Credentials | DDS |
Telephone Number | 4142573366 |
NPI Number Detail
NPI Number | 1104885482 |
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Provider Enumeration Date | 2006-03-23 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2600 N Mayfair Rd |
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City | Wauwatosa |
State | Wisconsin (WI) |
Post Code | 532261309 |
Phone Number | 4142573366 |
Fax Number | 4142581390 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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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 |
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What is the Wauwatosa Dental Group Sc's 1104885482?
The Wauwatosa Dental Group Sc's NPI (National Provider Identifier) Number is 1104885482. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Wauwatosa Dental Group Sc is physically located?
The Wauwatosa Dental Group Sc is situated at the following address: 2600 N Mayfair Rd, Wauwatosa, WI 532261309.
What is Wauwatosa Dental Group Sc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wauwatosa Dental Group Sc is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
When did Wauwatosa Dental Group Sc receive its 1104885482 assignment?
The Wauwatosa Dental Group Sc was assigned its 1104885482 on 2006-03-23, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Wauwatosa Dental Group Sc most recently updated or revised?
The details related to Wauwatosa Dental Group Sc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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