Fort Family Dental Center, Sc in Fort Atkinson - General Practice

Fort Family Dental Center, Sc - NPI 1942314067

Fort Family Dental Center, Sc is a General Practice in Fort Atkinson, Wisconsin. Fort Family Dental Center, Sc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Fort Family Dental Center, Sc is 1942314067. The last update date is 2008-08-20.

Fort Family Dental Center, Sc's current location address is 715 Sherman Ave E, Fort Atkinson, Wisconsin. You can contact this provider via phone number 9205634322 and fax number 9205636585. The mailing address for Fort Family Dental Center, Sc is 715 Sherman Ave E, Fort Atkinson, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Fort Family Dental Center, Sc
Address 715 Sherman Ave E, Fort Atkinson, Wisconsin
Phone Number 9205634322
Fax Number 9205636585
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Luisier David
Credentials D.D.S.
Telephone Number 9205634322

NPI Number Detail

NPI Number 1942314067
Provider Enumeration Date 2006-08-18
Last Updated Date 2008-08-20

Provider Mailing Address Detail

Address 715 Sherman Ave E
City Fort Atkinson
State Wisconsin (WI)
Post Code 535381992
Phone Number 9205634322
Fax Number 9205636585

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 2255
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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FAQs about Fort Family Dental Center, Sc

What is the unique provider identifier assigned to Fort Family Dental Center, Sc?

The Fort Family Dental Center, Sc has been issued the NPI (National Provider Identifier) 1942314067 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Fort Family Dental Center, Sc is physically located?

The Fort Family Dental Center, Sc is physically situated at the following address: 715 Sherman Ave E, Fort Atkinson, WI, 535381992.

What is Fort Family Dental Center, Sc's area of expertise and its corresponding taxonomy classification?

The Fort Family Dental Center, Sc's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.

On what date did the Fort Family Dental Center, Sc receive the assignment of its 1942314067 from the Centers for Medicare & Medicaid Services?

The Fort Family Dental Center, Sc was issued its 1942314067 by the Centers for Medicare & Medicaid Services on 2006-08-18.

As of what date were the details related to Fort Family Dental Center, Sc most recently updated or revised?

The information pertaining to Fort Family Dental Center, Sc, including its address, specialty, and other relevant details, was last updated or revised on 2008-08-20.

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