Joel A Supita is a General Practice in Crivitz, Wisconsin. Joel A Supita practices all healthcare services and medical treatments related to General Practice. The NPI Number for Joel A Supita is 1922051895. The last update date is 2007-07-08.
Joel A Supita's current location address is 519 N Us Highway 141, Crivitz, Wisconsin. You can contact this provider via phone number 7158547545. The mailing address for Joel A Supita is 519 N Us Highway 141, Crivitz, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joel A Supita |
|---|---|
| Address | 519 N Us Highway 141, Crivitz, Wisconsin |
| Phone Number | 7158547545 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1922051895 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 519 N Us Highway 141 |
|---|---|
| City | Crivitz |
| State | Wisconsin (WI) |
| Post Code | 541141639 |
| Phone Number | 7158547545 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2824-015 |
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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 assigned to Joel A Supita by the Centers for Medicare & Medicaid Services?
The Joel A Supita has been issued the NPI (National Provider Identifier) 1922051895 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Joel A Supita?
The Joel A Supita is situated at 519 N Us Highway 141, in the city of Crivitz, state of WI, with the zip code 541141639.
What is Joel A Supita's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joel A Supita is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date was the 1922051895 assigned to Joel A Supita?
The Joel A Supita was issued its 1922051895 on 2006-05-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Joel A Supita last refreshed?
The information related to the Joel A Supita, including its address, specialty, and other relevant details, was last updated on 2007-07-08.