Joseph Hall Wenner in St Cloud - Pediatric Dentistry
Joseph Hall Wenner - NPI 1720028624
Joseph Hall Wenner is a Pediatric Dentistry in St Cloud, Minnesota. Joseph Hall Wenner practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Joseph Hall Wenner is 1720028624. The last update date is 2014-09-30.
Joseph Hall Wenner's current location address is 1900 Centracare Circle, St Cloud, Minnesota. You can contact this provider via phone number 3202530272 and fax number 3202512661. The mailing address for Joseph Hall Wenner is 1900 Centracare Circle, St Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Hall Wenner |
|---|---|
| Address | 1900 Centracare Circle, St Cloud, Minnesota |
| Phone Number | 3202530272 |
| Fax Number | 3202512661 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1720028624 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2014-09-30 |
Provider Mailing Address Detail
| Address | 1900 Centracare Circle |
|---|---|
| City | St Cloud |
| State | Minnesota (MN) |
| Post Code | 563035000 |
| Phone Number | 3202530272 |
| Fax Number | 3202512661 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 7765 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HP18378 | MN | HEALTH PARTNERS | |
| 3B445WE | MN | BLUE CROSS BLUE SHIELD | |
| 941218200 | MN | -- |
Post Comment/ Review Below
What is the Joseph Hall Wenner's unique identification number?
The Joseph Hall Wenner has been assigned the NPI (National Provider Identifier) Number 1720028624 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 Joseph Hall Wenner's facilities are geographically located?
The facilities of Joseph Hall Wenner are physically situated at the following location: 1900 Centracare Circle, St Cloud, MN, 563035000.
What is Joseph Hall Wenner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Joseph Hall Wenner is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720028624 to Joseph Hall Wenner?
The Centers for Medicare & Medicaid Services originally issued the 1720028624 to Joseph Hall Wenner on 2006-06-08.
When was the information related to Joseph Hall Wenner most recently updated or refreshed?
The details pertaining to the Joseph Hall Wenner, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-09-30.