Advance Dental Management in Mukwonago - General Practice
Advance Dental Management - NPI 1417020454
Advance Dental Management is a General Practice in Mukwonago, Wisconsin. Advance Dental Management practices all healthcare services and medical treatments related to General Practice. The NPI Number for Advance Dental Management is 1417020454. The last update date is 2020-08-22.
Advance Dental Management's current location address is 720 N Rochester St, Mukwonago, Wisconsin. You can contact this provider via phone number 2623632220 and fax number 2623632221. The mailing address for Advance Dental Management is 720 N Rochester St, Mukwonago, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advance Dental Management |
|---|---|
| Address | 720 N Rochester St, Mukwonago, Wisconsin |
| Phone Number | 2623632220 |
| Fax Number | 2623632221 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTACT OF |
|---|---|
| Authorized Official Name | Kuble Genie |
| Telephone Number | 9204500157 |
NPI Number Detail
| NPI Number | 1417020454 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 720 N Rochester St |
|---|---|
| City | Mukwonago |
| State | Wisconsin (WI) |
| Post Code | 531491188 |
| Phone Number | 2623632220 |
| Fax Number | 2623632221 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5000526 |
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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 Advance Dental Management's 1417020454?
The Advance Dental Management's NPI (National Provider Identifier) Number is 1417020454. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Advance Dental Management?
The Advance Dental Management is physically situated at 720 N Rochester St, in the city of Mukwonago, state of WI, with the postal code 531491188.
What is Advance Dental Management's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Advance Dental Management is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did Advance Dental Management receive its 1417020454 assignment from the Centers for Medicare & Medicaid Services?
The Advance Dental Management was assigned its 1417020454 on 2006-11-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Advance Dental Management most recently updated or revised?
The information pertaining to Advance Dental Management, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.