Paul J. Svoboda in Fond Du Lac - Periodontics
Paul J. Svoboda - NPI 1104973734
Paul J. Svoboda is a Periodontics in Fond Du Lac, Wisconsin. Paul J. Svoboda practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Paul J. Svoboda is 1104973734. The last update date is 2007-07-08.
Paul J. Svoboda's current location address is 525 E Division St, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209227700 and fax number 9209221131. The mailing address for Paul J. Svoboda is 525 E Division St, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul J. Svoboda |
|---|---|
| Address | 525 E Division St, Fond Du Lac, Wisconsin |
| Phone Number | 9209227700 |
| Fax Number | 9209221131 |
| Sole Proprietor | Y |
| Credentials | DDS,MSD |
NPI Number Detail
| NPI Number | 1104973734 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 525 E Division St |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549353747 |
| Phone Number | 9209227700 |
| Fax Number | 9209221131 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2302-015 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to Paul J. Svoboda by the Centers for Medicare & Medicaid Services (CMS)?
The Paul J. Svoboda has been assigned the NPI (National Provider Identifier) 1104973734. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Paul J. Svoboda?
The Paul J. Svoboda is situated at 525 E Division St, in the city of Fond Du Lac, state of WI, with the zip code 549353747.
What is Paul J. Svoboda'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 Paul J. Svoboda is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104973734 to Paul J. Svoboda?
The Centers for Medicare & Medicaid Services assigned the 1104973734 to Paul J. Svoboda on 2007-01-04.
As of what date was the information regarding Paul J. Svoboda, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paul J. Svoboda, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1821080284
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