Dr. Mary Grote in Beaver Dam - Oral And Maxillofacial Surgery
Dr. Mary Grote - NPI 1740336114
Dr. Mary Grote is a Oral And Maxillofacial Surgery in Beaver Dam, Wisconsin. Dr. Mary Grote practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Dr. Mary Grote is 1740336114. The last update date is 2020-08-22.
Dr. Mary Grote's current location address is 301 S Roosevelt Dr, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208878423 and fax number 9208878471. The mailing address for Dr. Mary Grote is 301 S Roosevelt Dr, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dr. Mary Grote |
|---|---|
| Address | 301 S Roosevelt Dr, Beaver Dam, Wisconsin |
| Phone Number | 9208878423 |
| Fax Number | 9208878471 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Grote Mary |
| Credentials | DDS |
| Telephone Number | 9208878423 |
NPI Number Detail
| NPI Number | 1740336114 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 301 S Roosevelt Dr |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 539162439 |
| Phone Number | 9208878423 |
| Fax Number | 9208878471 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2582-015 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dr. Mary Grote by the Centers for Medicare & Medicaid Services?
The Dr. Mary Grote has been issued the NPI (National Provider Identifier) 1740336114 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Dr. Mary Grote?
The Dr. Mary Grote is situated at 301 S Roosevelt Dr, in the city of Beaver Dam, state of WI, with the zip code 539162439.
What is the Dr. Mary Grote's area of specialization and corresponding taxonomy classification?
The Dr. Mary Grote's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
On what date did the Dr. Mary Grote receive its 1740336114 assignment from the Centers for Medicare & Medicaid Services?
The Dr. Mary Grote was assigned its 1740336114 by the Centers for Medicare & Medicaid Services on 2007-01-26.
When was the information pertaining to Dr. Mary Grote most recently updated or revised?
The details related to Dr. Mary Grote, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.