John P Wiederholt is a Dentist in Madison, Wisconsin. John P Wiederholt practices all healthcare services and medical treatments related to Dentist. The NPI Number for John P Wiederholt is 1336369073. The last update date is 2011-10-04.
John P Wiederholt's current location address is 3434 E. Washington Ave, Madison, Wisconsin. You can contact this provider via phone number 6084435550 and fax number 6084435554. The mailing address for John P Wiederholt is 3434 E. Washington Ave, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John P Wiederholt |
|---|---|
| Address | 3434 E. Washington Ave, Madison, Wisconsin |
| Phone Number | 6084435550 |
| Fax Number | 6084435554 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1336369073 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2011-10-04 |
Provider Mailing Address Detail
| Address | 3434 E. Washington Ave |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537044155 |
| Phone Number | 6084435550 |
| Fax Number | 6084435554 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 21644 |
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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 10-digit identification code assigned to John P Wiederholt by the Centers for Medicare & Medicaid Services?
The John P Wiederholt has been issued the NPI (National Provider Identifier) 1336369073, which 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 John P Wiederholt is physically located?
The John P Wiederholt is physically situated at the following address: 3434 E. Washington Ave, Madison, WI, 537044155.
What is John P Wiederholt's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John P Wiederholt is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the John P Wiederholt receive its 1336369073 assignment from the Centers for Medicare & Medicaid Services?
The John P Wiederholt was assigned its 1336369073 by the Centers for Medicare & Medicaid Services on 2007-04-26.
When was the information pertaining to John P Wiederholt most recently updated or revised?
The details related to John P Wiederholt, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-04.