Brian James Underwood in Strum - General Practice

Brian James Underwood - NPI 1972524908

Brian James Underwood is a General Practice in Strum, Wisconsin. Brian James Underwood practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brian James Underwood is 1972524908. The last update date is 2008-03-11.

Brian James Underwood's current location address is 105 5th Ave N, Strum, Wisconsin. You can contact this provider via phone number 7156952918 and fax number 7156953852. The mailing address for Brian James Underwood is 105 5th Ave N, Strum, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian James Underwood
Address 105 5th Ave N, Strum, Wisconsin
Phone Number 7156952918
Fax Number 7156953852
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1972524908
Provider Enumeration Date 2006-07-23
Last Updated Date 2008-03-11

Provider Mailing Address Detail

Address 105 5th Ave N
City Strum
State Wisconsin (WI)
Post Code 547709252
Phone Number 7156952918
Fax Number 7156953852

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 3750
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
33693400 WI --
391675083011 BLUE CROSS BLUE SHIELD
391675083001 DELTA DENTAL

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FAQs about Brian James Underwood

What is the unique 10-digit identifier code assigned to Brian James Underwood by the Centers for Medicare & Medicaid Services?

The Brian James Underwood has been issued the NPI (National Provider Identifier) 1972524908 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Brian James Underwood?

The Brian James Underwood is physically situated at 105 5Th Ave N, in the city of Strum, state of WI, with the postal code 547709252.

What is the Brian James Underwood's area of specialization and corresponding taxonomy classification?

The Brian James Underwood's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Brian James Underwood receive its 1972524908 assignment from the Centers for Medicare & Medicaid Services?

The Brian James Underwood was assigned its 1972524908 by the Centers for Medicare & Medicaid Services on 2006-07-23.

When was the information regarding Brian James Underwood, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Brian James Underwood, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-11.

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