Gregory Eric Custer in Mequon - General Practice
Gregory Eric Custer - NPI 1891808887
Gregory Eric Custer is a General Practice in Mequon, Wisconsin. Gregory Eric Custer practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory Eric Custer is 1891808887. The last update date is 2007-07-08.
Gregory Eric Custer's current location address is 13615 N Cedarburg Road, Mequon, Wisconsin. You can contact this provider via phone number 2623771071 and fax number 2623771018. The mailing address for Gregory Eric Custer is 13615 N Cedarburg Road, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Eric Custer |
|---|---|
| Address | 13615 N Cedarburg Road, Mequon, Wisconsin |
| Phone Number | 2623771071 |
| Fax Number | 2623771018 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1891808887 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13615 N Cedarburg Road |
|---|---|
| City | Mequon |
| State | Wisconsin (WI) |
| Post Code | 53097 |
| Phone Number | 2623771071 |
| Fax Number | 2623771018 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5001876015 |
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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 Gregory Eric Custer by the Centers for Medicare & Medicaid Services?
The Gregory Eric Custer has been assigned the NPI (National Provider Identifier) 1891808887 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Gregory Eric Custer's facilities are geographically located?
The facilities of Gregory Eric Custer are physically situated at the following location: 13615 N Cedarburg Road, Mequon, WI, 53097.
What is Gregory Eric Custer's area of expertise and its corresponding taxonomy classification?
The Gregory Eric Custer'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.
When did Gregory Eric Custer receive its 1891808887 assignment?
The Gregory Eric Custer was assigned its 1891808887 on 2006-08-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Gregory Eric Custer most recently updated or revised?
The information pertaining to Gregory Eric Custer, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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