Brian C Stecker in Fond Du Lac - Pediatric Dentistry
Brian C Stecker - NPI 1871717496
Brian C Stecker is a Pediatric Dentistry in Fond Du Lac, Wisconsin. Brian C Stecker practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Brian C Stecker is 1871717496. The last update date is 2013-03-05.
Brian C Stecker's current location address is 54 Camelot Dr, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209231239 and fax number 9209235221. The mailing address for Brian C Stecker is 54 Camelot Dr, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian C Stecker |
|---|---|
| Address | 54 Camelot Dr, Fond Du Lac, Wisconsin |
| Phone Number | 9209231239 |
| Fax Number | 9209235221 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1871717496 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2013-03-05 |
Provider Mailing Address Detail
| Address | 54 Camelot Dr |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549358049 |
| Phone Number | 9209231239 |
| Fax Number | 9209235221 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3220 |
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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 Brian C Stecker by the Centers for Medicare & Medicaid Services?
The Brian C Stecker has been issued the NPI (National Provider Identifier) 1871717496 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Brian C Stecker is located?
The Brian C Stecker is situated at the following address: 54 Camelot Dr, Fond Du Lac, WI, 549358049.
What is Brian C Stecker'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 Brian C Stecker 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 issue the 1871717496 to Brian C Stecker?
The Brian C Stecker received its 1871717496 assignment from the Centers for Medicare & Medicaid Services on 2007-04-13.
When was the information regarding Brian C Stecker most recently updated?
The details pertaining to the Brian C Stecker, including its address, specialty, and other relevant information, were last refreshed on 2013-03-05.
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