Periodontal & Implant Specialists Of Madison, Llc in Madison - Dentist
Periodontal & Implant Specialists Of Madison, Llc - NPI 1366614885
Periodontal & Implant Specialists Of Madison, Llc is a Dentist in Madison, Wisconsin. Periodontal & Implant Specialists Of Madison, Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Periodontal & Implant Specialists Of Madison, Llc is 1366614885. The last update date is 2008-08-27.
Periodontal & Implant Specialists Of Madison, Llc's current location address is 49 N Walbridge Ave., Madison, Wisconsin. You can contact this provider via phone number 6088332578 and fax number 6082037105. The mailing address for Periodontal & Implant Specialists Of Madison, Llc is 49 N Walbridge Ave., Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Periodontal & Implant Specialists Of Madison, Llc |
|---|---|
| Address | 49 N Walbridge Ave., Madison, Wisconsin |
| Phone Number | 6088332578 |
| Fax Number | 6082037105 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC ADM |
|---|---|
| Authorized Official Name | Streich K Jan |
| Telephone Number | 6086616412 |
NPI Number Detail
| NPI Number | 1366614885 |
|---|---|
| Provider Enumeration Date | 2008-03-25 |
| Last Updated Date | 2008-08-27 |
Provider Mailing Address Detail
| Address | 49 N Walbridge Ave. |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 53717 |
| Phone Number | 6088332578 |
| Fax Number | 6082037105 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6136 |
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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 identification code assigned to Periodontal & Implant Specialists Of Madison, Llc by the Centers for Medicare & Medicaid Services?
The Periodontal & Implant Specialists Of Madison, Llc has been issued the NPI (National Provider Identifier) 1366614885. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Periodontal & Implant Specialists Of Madison, Llc is physically located?
The Periodontal & Implant Specialists Of Madison, Llc is physically situated at the following address: 49 N Walbridge Ave., Madison, WI, 53717.
What is Periodontal & Implant Specialists Of Madison, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Periodontal & Implant Specialists Of Madison, Llc's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366614885 to Periodontal & Implant Specialists Of Madison, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1366614885 to Periodontal & Implant Specialists Of Madison, Llc on 2008-03-25.
As of what date was the information pertaining to Periodontal & Implant Specialists Of Madison, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Periodontal & Implant Specialists Of Madison, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-27.