Timothy Stephen Novak in Waukesha - Oral And Maxillofacial Surgery
Timothy Stephen Novak - NPI 1194832824
Timothy Stephen Novak is a Oral And Maxillofacial Surgery in Waukesha, Wisconsin. Timothy Stephen Novak practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Timothy Stephen Novak is 1194832824. The last update date is 2007-07-08.
Timothy Stephen Novak's current location address is 1111 Delafield St, Waukesha, Wisconsin. You can contact this provider via phone number 2625478665 and fax number 2625474328. The mailing address for Timothy Stephen Novak is 1111 Delafield St, Waukesha, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Stephen Novak |
|---|---|
| Address | 1111 Delafield St, Waukesha, Wisconsin |
| Phone Number | 2625478665 |
| Fax Number | 2625474328 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1194832824 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1111 Delafield St |
|---|---|
| City | Waukesha |
| State | Wisconsin (WI) |
| Post Code | 531883417 |
| Phone Number | 2625478665 |
| Fax Number | 2625474328 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 4362 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10571 | WI | DEANCARE HMO | |
| 33709900 | WI | -- | |
| 2011072002 | WI | CIGNA MEDICAL | |
| 759310 | WI | UNITED CONCORDIA DENTAL | |
| 1008606 | WI | PHYSICIANS PLUS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy Stephen Novak by the Centers for Medicare & Medicaid Services?
The Timothy Stephen Novak has been issued the NPI (National Provider Identifier) 1194832824, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Timothy Stephen Novak?
The Timothy Stephen Novak is situated at 1111 Delafield St, in the city of Waukesha, state of WI, with the zip code 531883417.
What is the area of specialization for Timothy Stephen Novak, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Timothy Stephen Novak is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194832824 to Timothy Stephen Novak?
The Timothy Stephen Novak received its 1194832824 assignment from the Centers for Medicare & Medicaid Services on 2006-08-25.
When was the information regarding Timothy Stephen Novak most recently updated?
The details pertaining to the Timothy Stephen Novak, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.