Modern Dental Professionals, Mn Pc in Mondovi - General Practice
Modern Dental Professionals, Mn Pc - NPI 1124159983
Modern Dental Professionals, Mn Pc is a General Practice in Mondovi, Wisconsin. Modern Dental Professionals, Mn Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Modern Dental Professionals, Mn Pc is 1124159983. The last update date is 2020-08-22.
Modern Dental Professionals, Mn Pc's current location address is 680 Hehli Way, Mondovi, Wisconsin. You can contact this provider via phone number 7159265050. The mailing address for Modern Dental Professionals, Mn Pc is 680 Hehli Way, Mondovi, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Modern Dental Professionals, Mn Pc |
|---|---|
| Address | 680 Hehli Way, Mondovi, Wisconsin |
| Phone Number | 7159265050 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Myer Jim |
| Telephone Number | 7159265050 |
NPI Number Detail
| NPI Number | 1124159983 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 680 Hehli Way |
|---|---|
| City | Mondovi |
| State | Wisconsin (WI) |
| Post Code | 547551639 |
| Phone Number | 7159265050 |
| Fax Number |
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 Modern Dental Professionals, Mn Pc's unique identification number?
The Modern Dental Professionals, Mn Pc has been assigned the NPI (National Provider Identifier) Number 1124159983 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Modern Dental Professionals, Mn Pc?
The Modern Dental Professionals, Mn Pc is situated at 680 Hehli Way, in the city of Mondovi, state of WI, with the zip code 547551639.
What is Modern Dental Professionals, Mn Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Modern Dental Professionals, Mn Pc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When was the Modern Dental Professionals, Mn Pc's 1124159983 issued?
The Modern Dental Professionals, Mn Pc's 1124159983 was issued on 2007-03-07.
As of what date were the Modern Dental Professionals, Mn Pc's details last updated?
The information pertaining to the Modern Dental Professionals, Mn Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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