Waukesha Pediatric Dental Care Sc in Waukesha - Pediatric Dentistry
Waukesha Pediatric Dental Care Sc - NPI 1124168638
Waukesha Pediatric Dental Care Sc is a Pediatric Dentistry in Waukesha, Wisconsin. Waukesha Pediatric Dental Care Sc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Waukesha Pediatric Dental Care Sc is 1124168638. The last update date is 2020-08-22.
Waukesha Pediatric Dental Care Sc's current location address is 2727 N Grandview Blvd, Waukesha, Wisconsin. You can contact this provider via phone number 2625428402 and fax number 2625424436. The mailing address for Waukesha Pediatric Dental Care Sc is 2727 N Grandview Blvd, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Waukesha Pediatric Dental Care Sc |
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Address | 2727 N Grandview Blvd, Waukesha, Wisconsin |
Phone Number | 2625428402 |
Fax Number | 2625424436 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DR CEO |
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Authorized Official Name | Norwick B Susann |
Credentials | DDS MS |
Telephone Number | 2625428402 |
NPI Number Detail
NPI Number | 1124168638 |
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Provider Enumeration Date | 2007-02-07 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2727 N Grandview Blvd |
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City | Waukesha |
State | Wisconsin (WI) |
Post Code | 531881671 |
Phone Number | 2625428402 |
Fax Number | 2625424436 |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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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 identification code issued to Waukesha Pediatric Dental Care Sc by the Centers for Medicare & Medicaid Services?
The Waukesha Pediatric Dental Care Sc has been assigned the NPI (National Provider Identifier) 1124168638 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Waukesha Pediatric Dental Care Sc is physically located?
The Waukesha Pediatric Dental Care Sc is physically situated at the following address: 2727 N Grandview Blvd, Waukesha, WI, 531881671.
What is Waukesha Pediatric Dental Care Sc'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 Waukesha Pediatric Dental Care Sc is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did Waukesha Pediatric Dental Care Sc receive its 1124168638 assignment from the Centers for Medicare & Medicaid Services?
The Waukesha Pediatric Dental Care Sc was assigned its 1124168638 on 2007-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Waukesha Pediatric Dental Care Sc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Waukesha Pediatric Dental Care Sc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.