Lake Geneva Dental Care Llc in Lake Geneva - General Practice
Lake Geneva Dental Care Llc - NPI 1083732101
Lake Geneva Dental Care Llc is a General Practice in Lake Geneva, Wisconsin. Lake Geneva Dental Care Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lake Geneva Dental Care Llc is 1083732101. The last update date is 2020-08-22.
Lake Geneva Dental Care Llc's current location address is 580 Broad St, Lake Geneva, Wisconsin. You can contact this provider via phone number 2622482773 and fax number 2622483895. The mailing address for Lake Geneva Dental Care Llc is 580 Broad St, Lake Geneva, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Geneva Dental Care Llc |
|---|---|
| Address | 580 Broad St, Lake Geneva, Wisconsin |
| Phone Number | 2622482773 |
| Fax Number | 2622483895 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Groh Lawrence |
| Credentials | D.D.S. |
| Telephone Number | 6308335110 |
NPI Number Detail
| NPI Number | 1083732101 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 580 Broad St |
|---|---|
| City | Lake Geneva |
| State | Wisconsin (WI) |
| Post Code | 531471420 |
| Phone Number | 2622482773 |
| Fax Number | 2622483895 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5788 |
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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 Lake Geneva Dental Care Llc's unique identification number?
The Lake Geneva Dental Care Llc has been assigned the NPI (National Provider Identifier) Number 1083732101 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Lake Geneva Dental Care Llc's physical address?
The Lake Geneva Dental Care Llc is physically located at 580 Broad St, in the city of Lake Geneva, WI, with the postal code 531471420.
What is Lake Geneva Dental Care Llc's area of expertise and its corresponding taxonomy classification?
The Lake Geneva Dental Care Llc'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 Centers for Medicare & Medicaid Services originally issue the 1083732101 to Lake Geneva Dental Care Llc?
The Centers for Medicare & Medicaid Services originally issued the 1083732101 to Lake Geneva Dental Care Llc on 2007-03-27.
As of what date was the information regarding Lake Geneva Dental Care Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lake Geneva Dental Care Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.