Bruce William Leberecht in West Bend - Dentist

Bruce William Leberecht - NPI 1730223355

Bruce William Leberecht is a Dentist in West Bend, Wisconsin. Bruce William Leberecht practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bruce William Leberecht is 1730223355. The last update date is 2007-07-08.

Bruce William Leberecht's current location address is 1345 Chestnut St, West Bend, Wisconsin. You can contact this provider via phone number 2623386624. The mailing address for Bruce William Leberecht is 1345 Chestnut St, West Bend, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce William Leberecht
Address 1345 Chestnut St, West Bend, Wisconsin
Phone Number 2623386624
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1730223355
Provider Enumeration Date 2007-02-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1345 Chestnut St
City West Bend
State Wisconsin (WI)
Post Code 53095
Phone Number 2623386624
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 5000972015
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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FAQs about Bruce William Leberecht

What is the unique 10-digit identification code issued to Bruce William Leberecht by the Centers for Medicare & Medicaid Services?

The Bruce William Leberecht has been assigned the NPI (National Provider Identifier) 1730223355 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Bruce William Leberecht's physical address?

The Bruce William Leberecht is physically located at 1345 Chestnut St, in the city of West Bend, WI, with the postal code 53095.

What is Bruce William Leberecht's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bruce William Leberecht's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

When did Bruce William Leberecht receive its 1730223355 assignment?

The Bruce William Leberecht was assigned its 1730223355 on 2007-02-16, which is the date when this unique identifier was issued to the organization.

As of what date were the Bruce William Leberecht's details last updated?

The information pertaining to the Bruce William Leberecht, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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