Wadena Family Dental, P. A. in Wadena - General Practice
Wadena Family Dental, P. A. - NPI 1881864049
Wadena Family Dental, P. A. is a General Practice in Wadena, Minnesota. Wadena Family Dental, P. A. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wadena Family Dental, P. A. is 1881864049. The last update date is 2008-03-04.
Wadena Family Dental, P. A.'s current location address is 122 Colfax Ave Sw, Wadena, Minnesota. You can contact this provider via phone number 2186314525 and fax number 2186313998. The mailing address for Wadena Family Dental, P. A. is 122 Colfax Ave Sw, Wadena, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wadena Family Dental, P. A. |
|---|---|
| Address | 122 Colfax Ave Sw, Wadena, Minnesota |
| Phone Number | 2186314525 |
| Fax Number | 2186313998 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Larson Kim William |
| Credentials | DDS |
| Telephone Number | 2186314525 |
NPI Number Detail
| NPI Number | 1881864049 |
|---|---|
| Provider Enumeration Date | 2008-03-04 |
| Last Updated Date | 2008-03-04 |
Provider Mailing Address Detail
| Address | 122 Colfax Ave Sw |
|---|---|
| City | Wadena |
| State | Minnesota (MN) |
| Post Code | 564821470 |
| Phone Number | 2186314525 |
| Fax Number | 2186313998 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D12083 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code issued to Wadena Family Dental, P. A. by the Centers for Medicare & Medicaid Services?
The Wadena Family Dental, P. A. has been assigned the NPI (National Provider Identifier) 1881864049 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Wadena Family Dental, P. A.'s physical address?
The Wadena Family Dental, P. A. is physically located at 122 Colfax Ave Sw, in the city of Wadena, MN, with the postal code 564821470.
What is Wadena Family Dental, P. A.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wadena Family Dental, P. A.'s specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did the Wadena Family Dental, P. A. receive its 1881864049?
The Wadena Family Dental, P. A. was issued its 1881864049 on 2008-03-04, which is the date when the organization was assigned this unique identifier.
When was the information related to Wadena Family Dental, P. A. most recently updated or refreshed?
The details pertaining to the Wadena Family Dental, P. A., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-04.