Jack L Brickner in Appleton - General Practice
Jack L Brickner - NPI 1215086566
Jack L Brickner is a General Practice in Appleton, Wisconsin. Jack L Brickner practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack L Brickner is 1215086566. The last update date is 2009-01-15.
Jack L Brickner's current location address is 5553 Waterford Ln, Appleton, Wisconsin. You can contact this provider via phone number 9207397165. The mailing address for Jack L Brickner is 5553 Waterford Ln, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack L Brickner |
|---|---|
| Address | 5553 Waterford Ln, Appleton, Wisconsin |
| Phone Number | 9207397165 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1215086566 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2009-01-15 |
Provider Mailing Address Detail
| Address | 5553 Waterford Ln |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549138468 |
| Phone Number | 9207397165 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5001371G |
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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 identifier code issued to Jack L Brickner by the Centers for Medicare & Medicaid Services?
The Jack L Brickner has been assigned the NPI (National Provider Identifier) 1215086566. 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 Jack L Brickner's physical address?
The Jack L Brickner is physically located at 5553 Waterford Ln, in the city of Appleton, WI, with the postal code 549138468.
What is Jack L Brickner's area of expertise and its corresponding taxonomy classification?
The Jack L Brickner'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 Jack L Brickner receive its 1215086566 assignment from the Centers for Medicare & Medicaid Services?
The Jack L Brickner was assigned its 1215086566 by the Centers for Medicare & Medicaid Services on 2007-01-09.
When was the information regarding Jack L Brickner most recently updated?
The details pertaining to the Jack L Brickner, including its address, specialty, and other relevant information, were last refreshed on 2009-01-15.