Echo Ridge Dental Clinic in Green Bay - General Practice

Echo Ridge Dental Clinic - NPI 1063622645

Echo Ridge Dental Clinic is a General Practice in Green Bay, Wisconsin. Echo Ridge Dental Clinic practices all healthcare services and medical treatments related to General Practice. The NPI Number for Echo Ridge Dental Clinic is 1063622645. The last update date is 2020-08-22.

Echo Ridge Dental Clinic's current location address is 2140 S. Ridge Rd., Green Bay, Wisconsin. You can contact this provider via phone number 9204947464 and fax number 9204947919. The mailing address for Echo Ridge Dental Clinic is 2140 S. Ridge Rd., Green Bay, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Echo Ridge Dental Clinic
Address 2140 S. Ridge Rd., Green Bay, Wisconsin
Phone Number 9204947464
Fax Number 9204947919
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER-DENT
Authorized Official Name Schneider L Raymond
Credentials DDS
Telephone Number 9204947464

NPI Number Detail

NPI Number 1063622645
Provider Enumeration Date 2007-05-23
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2140 S. Ridge Rd.
City Green Bay
State Wisconsin (WI)
Post Code 54304
Phone Number 9204947464
Fax Number 9204947919

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
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 Echo Ridge Dental Clinic

What is the unique 10-digit identification code issued to Echo Ridge Dental Clinic by the Centers for Medicare & Medicaid Services?

The Echo Ridge Dental Clinic has been assigned the NPI (National Provider Identifier) 1063622645 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Echo Ridge Dental Clinic?

The Echo Ridge Dental Clinic is situated at 2140 S. Ridge Rd., in the city of Green Bay, state of WI, with the zip code 54304.

What is Echo Ridge Dental Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Echo Ridge Dental Clinic is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Echo Ridge Dental Clinic receive its 1063622645 assignment from the Centers for Medicare & Medicaid Services?

The Echo Ridge Dental Clinic was assigned its 1063622645 by the Centers for Medicare & Medicaid Services on 2007-05-23.

When was the information related to Echo Ridge Dental Clinic most recently updated or refreshed?

The details pertaining to the Echo Ridge Dental Clinic, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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