Medford Dental Clinic Sc in Medford - General Practice
Medford Dental Clinic Sc - NPI 1548325699
Medford Dental Clinic Sc is a General Practice in Medford, Wisconsin. Medford Dental Clinic Sc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Medford Dental Clinic Sc is 1548325699. The last update date is 2020-08-22.
Medford Dental Clinic Sc's current location address is 309 E Broadway Po Box 504, Medford, Wisconsin. You can contact this provider via phone number 7157484111 and fax number 7157484896. The mailing address for Medford Dental Clinic Sc is 309 E Broadway Po Box 504, Medford, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medford Dental Clinic Sc |
|---|---|
| Address | 309 E Broadway Po Box 504, Medford, Wisconsin |
| Phone Number | 7157484111 |
| Fax Number | 7157484896 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Miskulin J Betty |
| Credentials | BOOKKEEPER |
| Telephone Number | 7156782215 |
NPI Number Detail
| NPI Number | 1548325699 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 309 E Broadway Po Box 504 |
|---|---|
| City | Medford |
| State | Wisconsin (WI) |
| Post Code | 54451 |
| Phone Number | 7157484111 |
| Fax Number | 7157484896 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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 10-digit identification code issued to Medford Dental Clinic Sc by the Centers for Medicare & Medicaid Services?
The Medford Dental Clinic Sc has been assigned the NPI (National Provider Identifier) 1548325699 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Medford Dental Clinic Sc is physically located?
The Medford Dental Clinic Sc is physically situated at the following address: 309 E Broadway Po Box 504, Medford, WI, 54451.
What is Medford Dental Clinic Sc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Medford Dental Clinic Sc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548325699 to Medford Dental Clinic Sc?
The Centers for Medicare & Medicaid Services assigned the 1548325699 to Medford Dental Clinic Sc on 2006-12-27.
When was the information regarding Medford Dental Clinic Sc most recently updated?
The details pertaining to the Medford Dental Clinic Sc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.