Charles Vernon Enwald in Madison - General Practice
Charles Vernon Enwald - NPI 1912919010
Charles Vernon Enwald is a General Practice in Madison, Wisconsin. Charles Vernon Enwald practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Vernon Enwald is 1912919010. The last update date is 2012-08-14.
Charles Vernon Enwald's current location address is 3099 E Washington Ave, Madison, Wisconsin. You can contact this provider via phone number 6082405120. The mailing address for Charles Vernon Enwald is 3099 E Washington Ave, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Vernon Enwald |
|---|---|
| Address | 3099 E Washington Ave, Madison, Wisconsin |
| Phone Number | 6082405120 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912919010 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2012-08-14 |
Provider Mailing Address Detail
| Address | 3099 E Washington Ave |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537044338 |
| Phone Number | 6082405120 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5001839 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33352800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles Vernon Enwald by the Centers for Medicare & Medicaid Services?
The Charles Vernon Enwald has been issued the NPI (National Provider Identifier) 1912919010, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Charles Vernon Enwald is geographically located?
The Charles Vernon Enwald is physically situated at the following location: 3099 E Washington Ave, Madison, WI, 537044338.
What is Charles Vernon Enwald's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Vernon Enwald's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Charles Vernon Enwald receive its 1912919010 assignment from the Centers for Medicare & Medicaid Services?
The Charles Vernon Enwald was assigned its 1912919010 by the Centers for Medicare & Medicaid Services on 2006-08-13.
As of what date were the details pertaining to Charles Vernon Enwald last refreshed?
The information related to the Charles Vernon Enwald, including its address, specialty, and other relevant details, was last updated on 2012-08-14.