Paul M Destefanis in Thiensville - General Practice
Paul M Destefanis - NPI 1023161304
Paul M Destefanis is a General Practice in Thiensville, Wisconsin. Paul M Destefanis practices all healthcare services and medical treatments related to General Practice. The NPI Number for Paul M Destefanis is 1023161304. The last update date is 2007-07-08.
Paul M Destefanis's current location address is 525 Riverview Dr, Thiensville, Wisconsin. You can contact this provider via phone number 2627825400. The mailing address for Paul M Destefanis is 525 Riverview Dr, Thiensville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul M Destefanis |
|---|---|
| Address | 525 Riverview Dr, Thiensville, Wisconsin |
| Phone Number | 2627825400 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1023161304 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 525 Riverview Dr |
|---|---|
| City | Thiensville |
| State | Wisconsin (WI) |
| Post Code | 530921745 |
| Phone Number | 2627825400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4675 |
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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 provider identifier assigned to Paul M Destefanis?
The Paul M Destefanis has been issued the NPI (National Provider Identifier) 1023161304 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Paul M Destefanis is physically located?
The Paul M Destefanis is physically situated at the following address: 525 Riverview Dr, Thiensville, WI, 530921745.
What is Paul M Destefanis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Paul M Destefanis's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023161304 to Paul M Destefanis?
The Centers for Medicare & Medicaid Services originally issued the 1023161304 to Paul M Destefanis on 2007-01-19.
When was the information pertaining to Paul M Destefanis most recently updated or revised?
The details related to Paul M Destefanis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.