Eagleview Dental Office in Prairie Du Sac - General Practice
Eagleview Dental Office - NPI 1669549044
Eagleview Dental Office is a General Practice in Prairie Du Sac, Wisconsin. Eagleview Dental Office practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eagleview Dental Office is 1669549044. The last update date is 2020-08-22.
Eagleview Dental Office's current location address is Po Box 126, Prairie Du Sac, Wisconsin. You can contact this provider via phone number 6086433855 and fax number 6086436295. The mailing address for Eagleview Dental Office is Po Box 126, Prairie Du Sac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eagleview Dental Office |
|---|---|
| Address | Po Box 126, Prairie Du Sac, Wisconsin |
| Phone Number | 6086433855 |
| Fax Number | 6086436295 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Knickmeyer W. William |
| Credentials | DDS |
| Telephone Number | 6086433855 |
NPI Number Detail
| NPI Number | 1669549044 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 126 |
|---|---|
| City | Prairie Du Sac |
| State | Wisconsin (WI) |
| Post Code | 535780126 |
| Phone Number | 6086433855 |
| Fax Number | 6086436295 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5002061-015 |
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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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What is the unique 10-digit identification code assigned to Eagleview Dental Office by the Centers for Medicare & Medicaid Services?
The Eagleview Dental Office has been issued the NPI (National Provider Identifier) 1669549044, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Eagleview Dental Office located?
The Eagleview Dental Office is located at Po Box 126, Prairie Du Sac, WI 535780126.
What is the Eagleview Dental Office's specialty and taxonomy code?
The Eagleview Dental Office's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did Eagleview Dental Office receive its 1669549044 assignment from the Centers for Medicare & Medicaid Services?
The Eagleview Dental Office was assigned its 1669549044 on 2006-11-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Eagleview Dental Office's information last updated?
The Eagleview Dental Office's information was last updated on 2020-08-22.
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