Kenneth John Wendorf in Kenosha - General Practice
Kenneth John Wendorf - NPI 1215196563
Kenneth John Wendorf is a General Practice in Kenosha, Wisconsin. Kenneth John Wendorf practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth John Wendorf is 1215196563. The last update date is 2008-06-03.
Kenneth John Wendorf's current location address is 3220 80th St, Kenosha, Wisconsin. You can contact this provider via phone number 2526948500. The mailing address for Kenneth John Wendorf is 3220 80th St, Kenosha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth John Wendorf |
|---|---|
| Address | 3220 80th St, Kenosha, Wisconsin |
| Phone Number | 2526948500 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1215196563 |
|---|---|
| Provider Enumeration Date | 2008-06-03 |
| Last Updated Date | 2008-06-03 |
Provider Mailing Address Detail
| Address | 3220 80th St |
|---|---|
| City | Kenosha |
| State | Wisconsin (WI) |
| Post Code | 531424948 |
| Phone Number | 2526948500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5001665 |
|
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. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth John Wendorf by the Centers for Medicare & Medicaid Services?
The Kenneth John Wendorf has been issued the NPI (National Provider Identifier) 1215196563, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kenneth John Wendorf is physically located?
The Kenneth John Wendorf is physically situated at the following address: 3220 80Th St, Kenosha, WI, 531424948.
What is Kenneth John Wendorf's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth John Wendorf's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When was the Kenneth John Wendorf's 1215196563 issued?
The Kenneth John Wendorf's 1215196563 was issued on 2008-06-03.
As of what date were the details pertaining to Kenneth John Wendorf last refreshed?
The information related to the Kenneth John Wendorf, including its address, specialty, and other relevant details, was last updated on 2008-06-03.