Complete Family Dentistry On Broadway in Waukesha - General Practice
Complete Family Dentistry On Broadway - NPI 1174524425
Complete Family Dentistry On Broadway is a General Practice in Waukesha, Wisconsin. Complete Family Dentistry On Broadway practices all healthcare services and medical treatments related to General Practice. The NPI Number for Complete Family Dentistry On Broadway is 1174524425. The last update date is 2020-08-22.
Complete Family Dentistry On Broadway's current location address is 419 E Broadway, Waukesha, Wisconsin. You can contact this provider via phone number 2625496850 and fax number 2625492157. The mailing address for Complete Family Dentistry On Broadway is 419 E Broadway, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Complete Family Dentistry On Broadway |
|---|---|
| Address | 419 E Broadway, Waukesha, Wisconsin |
| Phone Number | 2625496850 |
| Fax Number | 2625492157 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Jahimiak M Karen |
| Credentials | DDS |
| Telephone Number | 2625496850 |
NPI Number Detail
| NPI Number | 1174524425 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 419 E Broadway |
|---|---|
| City | Waukesha |
| State | Wisconsin (WI) |
| Post Code | 531865082 |
| Phone Number | 2625496850 |
| Fax Number | 2625492157 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3689 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33495600 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Complete Family Dentistry On Broadway by the Centers for Medicare & Medicaid Services (CMS)?
The Complete Family Dentistry On Broadway has been assigned the NPI (National Provider Identifier) 1174524425. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Complete Family Dentistry On Broadway is located?
The Complete Family Dentistry On Broadway is situated at the following address: 419 E Broadway, Waukesha, WI, 531865082.
What is Complete Family Dentistry On Broadway's specialized field of practice, and what is the corresponding taxonomy classification code?
The Complete Family Dentistry On Broadway's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When was the Complete Family Dentistry On Broadway's 1174524425 issued?
The Complete Family Dentistry On Broadway's 1174524425 was issued on 2005-08-09.
When was the information regarding Complete Family Dentistry On Broadway most recently updated?
The details pertaining to the Complete Family Dentistry On Broadway, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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