Paradise Dental Professionals S.C. in West Bend - Periodontics
Paradise Dental Professionals S.C. - NPI 1649492208
Paradise Dental Professionals S.C. is a Periodontics in West Bend, Wisconsin. Paradise Dental Professionals S.C. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Paradise Dental Professionals S.C. is 1649492208. The last update date is 2020-08-22.
Paradise Dental Professionals S.C.'s current location address is 1625 W Paradise Drive, West Bend, Wisconsin. You can contact this provider via phone number 2623382992 and fax number 2623386032. The mailing address for Paradise Dental Professionals S.C. is 1625 W Paradise Drive, West Bend, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Paradise Dental Professionals S.C. |
|---|---|
| Address | 1625 W Paradise Drive, West Bend, Wisconsin |
| Phone Number | 2623382992 |
| Fax Number | 2623386032 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Katt V Cindy |
| Telephone Number | 2623382992 |
NPI Number Detail
| NPI Number | 1649492208 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1625 W Paradise Drive |
|---|---|
| City | West Bend |
| State | Wisconsin (WI) |
| Post Code | 53095 |
| Phone Number | 2623382992 |
| Fax Number | 2623386032 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2608 |
|
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 Paradise Dental Professionals S.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Paradise Dental Professionals S.C. has been assigned the NPI (National Provider Identifier) 1649492208. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Paradise Dental Professionals S.C.'s facilities are geographically located?
The facilities of Paradise Dental Professionals S.C. are physically situated at the following location: 1625 W Paradise Drive, West Bend, WI, 53095.
What is Paradise Dental Professionals S.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Paradise Dental Professionals S.C. is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1649492208 to Paradise Dental Professionals S.C.?
The Paradise Dental Professionals S.C. received its 1649492208 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.
As of what date was the information regarding Paradise Dental Professionals S.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Paradise Dental Professionals S.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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