Comprehensive Dental Services Ltd in Mequon - General Practice
Comprehensive Dental Services Ltd - NPI 1154480002
Comprehensive Dental Services Ltd is a General Practice in Mequon, Wisconsin. Comprehensive Dental Services Ltd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Comprehensive Dental Services Ltd is 1154480002. The last update date is 2020-08-22.
Comprehensive Dental Services Ltd's current location address is 10521 N Port Washington Rd, Mequon, Wisconsin. You can contact this provider via phone number 2622412060 and fax number 2622412064. The mailing address for Comprehensive Dental Services Ltd is 10521 N Port Washington Rd, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Comprehensive Dental Services Ltd |
|---|---|
| Address | 10521 N Port Washington Rd, Mequon, Wisconsin |
| Phone Number | 2622412060 |
| Fax Number | 2622412064 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Jacobson Marc |
| Credentials | DDS |
| Telephone Number | 2622412060 |
NPI Number Detail
| NPI Number | 1154480002 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 10521 N Port Washington Rd |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 53092 |
| Phone Number | 2622412060 |
| Fax Number | 2622412064 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2475-015 |
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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 |
|---|---|---|---|
| 33412900 | WI | -- | |
| 33378400 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Comprehensive Dental Services Ltd?
The Comprehensive Dental Services Ltd has been issued the NPI (National Provider Identifier) 1154480002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Comprehensive Dental Services Ltd's facilities are situated?
The facilities of Comprehensive Dental Services Ltd are physically located at the following address: 10521 N Port Washington Rd, Mequon, WI, 53092.
What is Comprehensive Dental Services Ltd'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 Comprehensive Dental Services Ltd 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 originally issue the 1154480002 to Comprehensive Dental Services Ltd?
The Centers for Medicare & Medicaid Services originally issued the 1154480002 to Comprehensive Dental Services Ltd on 2006-12-06.
When was the information regarding Comprehensive Dental Services Ltd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Comprehensive Dental Services Ltd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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