Luciana Miranda Wiltse in Elm Grove - Orthodontics And Dentofacial Orthopedics
Luciana Miranda Wiltse - NPI 1962506964
Luciana Miranda Wiltse is a Orthodontics And Dentofacial Orthopedics in Elm Grove, Wisconsin. Luciana Miranda Wiltse practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Luciana Miranda Wiltse is 1962506964. The last update date is 2022-04-15.
Luciana Miranda Wiltse's current location address is 12888 W. Bluemound Rd., Elm Grove, Wisconsin. You can contact this provider via phone number 2624398233 and fax number 2624398246. The mailing address for Luciana Miranda Wiltse is 12888 W. Bluemound Rd., Elm Grove, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luciana Miranda Wiltse |
|---|---|
| Address | 12888 W. Bluemound Rd., Elm Grove, Wisconsin |
| Phone Number | 2624398233 |
| Fax Number | 2624398246 |
| Sole Proprietor | N |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1962506964 |
|---|---|
| Provider Enumeration Date | 2006-09-11 |
| Last Updated Date | 2022-04-15 |
Provider Mailing Address Detail
| Address | 12888 W. Bluemound Rd. |
|---|---|
| City | Elm Grove |
| State | Wisconsin (WI) |
| Post Code | 53122 |
| Phone Number | 2624398233 |
| Fax Number | 2624398246 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 8191 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique identification code assigned to Luciana Miranda Wiltse by the Centers for Medicare & Medicaid Services?
The Luciana Miranda Wiltse has been issued the NPI (National Provider Identifier) 1962506964. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Luciana Miranda Wiltse is physically located?
The Luciana Miranda Wiltse is situated at the following address: 12888 W. Bluemound Rd., Elm Grove, WI 53122.
What is Luciana Miranda Wiltse's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Luciana Miranda Wiltse is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did the Luciana Miranda Wiltse receive its 1962506964 assignment from the Centers for Medicare & Medicaid Services?
The Luciana Miranda Wiltse was assigned its 1962506964 by the Centers for Medicare & Medicaid Services on 2006-09-11.
As of what date were the Luciana Miranda Wiltse's details last updated?
The information pertaining to the Luciana Miranda Wiltse, including its address, specialty, and other details, was most recently updated on 2022-04-15.