Bruce Holmstrom D.D.S.,Sc in Glendale - General Practice
Bruce Holmstrom D.D.S.,Sc - NPI 1114029048
Bruce Holmstrom D.D.S.,Sc is a General Practice in Glendale, Wisconsin. Bruce Holmstrom D.D.S.,Sc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce Holmstrom D.D.S.,Sc is 1114029048. The last update date is 2020-08-22.
Bruce Holmstrom D.D.S.,Sc's current location address is 5150 N Port Washington Rd, Glendale, Wisconsin. You can contact this provider via phone number 4149648850 and fax number 4149648918. The mailing address for Bruce Holmstrom D.D.S.,Sc is 5150 N Port Washington Rd, Glendale, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bruce Holmstrom D.D.S.,Sc |
|---|---|
| Address | 5150 N Port Washington Rd, Glendale, Wisconsin |
| Phone Number | 4149648850 |
| Fax Number | 4149648918 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Holmstrom E Bruce |
| Credentials | D.D.S |
| Telephone Number | 4149648850 |
NPI Number Detail
| NPI Number | 1114029048 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5150 N Port Washington Rd |
|---|---|
| City | Glendale |
| State | Wisconsin (WI) |
| Post Code | 532175474 |
| Phone Number | 4149648850 |
| Fax Number | 4149648918 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5002167-015 |
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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 Bruce Holmstrom D.D.S.,Sc's unique identification number?
The Bruce Holmstrom D.D.S.,Sc has been assigned the NPI (National Provider Identifier) Number 1114029048 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Bruce Holmstrom D.D.S.,Sc is located?
The Bruce Holmstrom D.D.S.,Sc is situated at the following address: 5150 N Port Washington Rd, Glendale, WI, 532175474.
What is Bruce Holmstrom D.D.S.,Sc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bruce Holmstrom D.D.S.,Sc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114029048 to Bruce Holmstrom D.D.S.,Sc?
The Centers for Medicare & Medicaid Services originally issued the 1114029048 to Bruce Holmstrom D.D.S.,Sc on 2006-09-01.
When was the information related to Bruce Holmstrom D.D.S.,Sc most recently updated or refreshed?
The details pertaining to the Bruce Holmstrom D.D.S.,Sc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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