Thomas Robert Machak in Omro - General Practice
Thomas Robert Machak - NPI 1790752020
Thomas Robert Machak is a General Practice in Omro, Wisconsin. Thomas Robert Machak practices all healthcare services and medical treatments related to General Practice. The NPI Number for Thomas Robert Machak is 1790752020. The last update date is 2007-07-08.
Thomas Robert Machak's current location address is 123 W Main St, Omro, Wisconsin. You can contact this provider via phone number 9206855893 and fax number 9206857375. The mailing address for Thomas Robert Machak is 123 W Main St, Omro, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Robert Machak |
|---|---|
| Address | 123 W Main St, Omro, Wisconsin |
| Phone Number | 9206855893 |
| Fax Number | 9206857375 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790752020 |
|---|---|
| Provider Enumeration Date | 2006-03-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 123 W Main St |
|---|---|
| City | Omro |
| State | Wisconsin (WI) |
| Post Code | 549631333 |
| Phone Number | 9206855893 |
| Fax Number | 9206857375 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3974 |
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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 identifier code issued to Thomas Robert Machak by the Centers for Medicare & Medicaid Services (CMS)?
The Thomas Robert Machak has been assigned the NPI (National Provider Identifier) 1790752020. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Thomas Robert Machak's facilities are situated?
The facilities of Thomas Robert Machak are physically located at the following address: 123 W Main St, Omro, WI, 549631333.
What is the Thomas Robert Machak's specialty and taxonomy code?
The Thomas Robert Machak's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790752020 to Thomas Robert Machak?
The Centers for Medicare & Medicaid Services originally issued the 1790752020 to Thomas Robert Machak on 2006-03-06.
As of what date were the details pertaining to Thomas Robert Machak last refreshed?
The information related to the Thomas Robert Machak, including its address, specialty, and other relevant details, was last updated on 2007-07-08.