Dcp Of Southridge Shopping Center, Llc in Greenfield - Pediatric Dentistry
Dcp Of Southridge Shopping Center, Llc - NPI 1568435253
Dcp Of Southridge Shopping Center, Llc is a Pediatric Dentistry in Greenfield, Wisconsin. Dcp Of Southridge Shopping Center, Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Dcp Of Southridge Shopping Center, Llc is 1568435253. The last update date is 2018-03-19.
Dcp Of Southridge Shopping Center, Llc's current location address is 7995 W Layton Ave, Greenfield, Wisconsin. You can contact this provider via phone number 4142826583 and fax number 2165841020. The mailing address for Dcp Of Southridge Shopping Center, Llc is 7995 W Layton Ave, Greenfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dcp Of Southridge Shopping Center, Llc |
|---|---|
| Address | 7995 W Layton Ave, Greenfield, Wisconsin |
| Phone Number | 4142826583 |
| Fax Number | 2165841020 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Nittinger Rachel |
| Telephone Number | 9727550816 |
NPI Number Detail
| NPI Number | 1568435253 |
|---|---|
| Provider Enumeration Date | 2006-02-11 |
| Last Updated Date | 2018-03-19 |
Provider Mailing Address Detail
| Address | 7995 W Layton Ave |
|---|---|
| City | Greenfield |
| State | Wisconsin (WI) |
| Post Code | 532203710 |
| Phone Number | 4142826583 |
| Fax Number | 2165841020 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
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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What is the unique 10-digit identifier code assigned to Dcp Of Southridge Shopping Center, Llc by the Centers for Medicare & Medicaid Services?
The Dcp Of Southridge Shopping Center, Llc has been issued the NPI (National Provider Identifier) 1568435253 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Dcp Of Southridge Shopping Center, Llc is geographically located?
The Dcp Of Southridge Shopping Center, Llc is physically situated at the following location: 7995 W Layton Ave, Greenfield, WI, 532203710.
What is Dcp Of Southridge Shopping Center, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dcp Of Southridge Shopping Center, Llc is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did Dcp Of Southridge Shopping Center, Llc receive its 1568435253 assignment from the Centers for Medicare & Medicaid Services?
The Dcp Of Southridge Shopping Center, Llc was assigned its 1568435253 on 2006-02-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Dcp Of Southridge Shopping Center, Llc most recently updated?
The details pertaining to the Dcp Of Southridge Shopping Center, Llc, including its address, specialty, and other relevant information, were last refreshed on 2018-03-19.