Douglas Persich, Dds in West Allis - General Practice
Douglas Persich, Dds - NPI 1174604888
Douglas Persich, Dds is a General Practice in West Allis, Wisconsin. Douglas Persich, Dds practices all healthcare services and medical treatments related to General Practice. The NPI Number for Douglas Persich, Dds is 1174604888. The last update date is 2020-08-22.
Douglas Persich, Dds's current location address is 7130 W Greenfield Ave, West Allis, Wisconsin. You can contact this provider via phone number 4142582500 and fax number 4142386881. The mailing address for Douglas Persich, Dds is 7130 W Greenfield Ave, West Allis, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Douglas Persich, Dds |
|---|---|
| Address | 7130 W Greenfield Ave, West Allis, Wisconsin |
| Phone Number | 4142582500 |
| Fax Number | 4142386881 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Persich J Douglas |
| Credentials | DDS |
| Telephone Number | 4142582500 |
NPI Number Detail
| NPI Number | 1174604888 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 7130 W Greenfield Ave |
|---|---|
| City | West Allis |
| State | Wisconsin (WI) |
| Post Code | 532144708 |
| Phone Number | 4142582500 |
| Fax Number | 4142386881 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5001644 |
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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 |
|---|---|---|---|
| 38357100 | WI | -- |
Post Comment/ Review Below
What is the Douglas Persich, Dds's unique identification number?
The Douglas Persich, Dds has been assigned the NPI (National Provider Identifier) Number 1174604888 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Douglas Persich, Dds's facilities are geographically located?
The facilities of Douglas Persich, Dds are physically situated at the following location: 7130 W Greenfield Ave, West Allis, WI, 532144708.
What is Douglas Persich, Dds's area of expertise and its corresponding taxonomy classification?
The Douglas Persich, Dds's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did Douglas Persich, Dds receive its 1174604888 assignment from the Centers for Medicare & Medicaid Services?
The Douglas Persich, Dds was assigned its 1174604888 on 2006-10-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Douglas Persich, Dds last refreshed?
The information related to the Douglas Persich, Dds, including its address, specialty, and other relevant details, was last updated on 2020-08-22.