James R Sueppel in Cashton - General Practice

James R Sueppel - NPI 1558357020

James R Sueppel is a General Practice in Cashton, Wisconsin. James R Sueppel practices all healthcare services and medical treatments related to General Practice. The NPI Number for James R Sueppel is 1558357020. The last update date is 2023-03-07.

James R Sueppel's current location address is P.o. Box 39, Cashton, Wisconsin. You can contact this provider via phone number 6086545100 and fax number 6086545120. The mailing address for James R Sueppel is P.o. Box 39, Cashton, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name James R Sueppel
Address P.o. Box 39, Cashton, Wisconsin
Phone Number 6086545100
Fax Number 6086545120
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1558357020
Provider Enumeration Date 2005-09-21
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address P.o. Box 39
City Cashton
State Wisconsin (WI)
Post Code 54619
Phone Number 6086545100
Fax Number 6086545120

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7543
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1003913 IL --
7543 IA IA STATE LICENSE #
7543 IA DELTA DENTAL (IA)
80200 IA --
1417959 IA CONTROLLED SUBSTANCE#
421060724 IA BILLING TAX ID# FOR CHC
990360 UNITED CONCORDIA
IA0156 IA JOHN DEERE EDI#
1558357020 WI --
7543 IA BC/BS OF IA-BLUE DENTAL

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FAQs about James R Sueppel

What is the unique identifier code issued to James R Sueppel by the Centers for Medicare & Medicaid Services?

The James R Sueppel has been assigned the NPI (National Provider Identifier) 1558357020. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the James R Sueppel's physical address?

The James R Sueppel is physically located at P.O. Box 39, in the city of Cashton, WI, with the postal code 54619.

What is James R Sueppel's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for James R Sueppel is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1558357020 to James R Sueppel?

The Centers for Medicare & Medicaid Services originally issued the 1558357020 to James R Sueppel on 2005-09-21.

As of what date were the details related to James R Sueppel most recently updated or revised?

The information pertaining to James R Sueppel, including its address, specialty, and other relevant details, was last updated or revised on 2023-03-07.

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