Pediatric Dental Specialists Of Madison Llc in Fitchburg - Dentist
Pediatric Dental Specialists Of Madison Llc - NPI 1437310604
Pediatric Dental Specialists Of Madison Llc is a Dentist in Fitchburg, Wisconsin. Pediatric Dental Specialists Of Madison Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Pediatric Dental Specialists Of Madison Llc is 1437310604. The last update date is 2008-06-20.
Pediatric Dental Specialists Of Madison Llc's current location address is 2971 Chapel Valley Rd, Fitchburg, Wisconsin. You can contact this provider via phone number 6086616400 and fax number 6086616414. The mailing address for Pediatric Dental Specialists Of Madison Llc is 2971 Chapel Valley Rd, Fitchburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dental Specialists Of Madison Llc |
|---|---|
| Address | 2971 Chapel Valley Rd, Fitchburg, Wisconsin |
| Phone Number | 6086616400 |
| Fax Number | 6086616414 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC ADM |
|---|---|
| Authorized Official Name | Streich K Jan |
| Telephone Number | 6086616412 |
NPI Number Detail
| NPI Number | 1437310604 |
|---|---|
| Provider Enumeration Date | 2008-06-20 |
| Last Updated Date | 2008-06-20 |
Provider Mailing Address Detail
| Address | 2971 Chapel Valley Rd |
|---|---|
| City | Fitchburg |
| State | Wisconsin (WI) |
| Post Code | 53711 |
| Phone Number | 6086616400 |
| Fax Number | 6086616414 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5488 |
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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 Pediatric Dental Specialists Of Madison Llc by the Centers for Medicare & Medicaid Services?
The Pediatric Dental Specialists Of Madison Llc has been assigned the NPI (National Provider Identifier) 1437310604. 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 Pediatric Dental Specialists Of Madison Llc?
The Pediatric Dental Specialists Of Madison Llc is situated at 2971 Chapel Valley Rd, in the city of Fitchburg, state of WI, with the zip code 53711.
What is the Pediatric Dental Specialists Of Madison Llc's specialty and taxonomy code?
The Pediatric Dental Specialists Of Madison Llc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Pediatric Dental Specialists Of Madison Llc's 1437310604 issued?
The Pediatric Dental Specialists Of Madison Llc's 1437310604 was issued on 2008-06-20.
When was the information pertaining to Pediatric Dental Specialists Of Madison Llc most recently updated or revised?
The details related to Pediatric Dental Specialists Of Madison Llc, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-20.