Jon J. Sisulak in Hales Corners - Orthodontics And Dentofacial Orthopedics

Jon J. Sisulak - NPI 1508999616

Jon J. Sisulak is a Orthodontics And Dentofacial Orthopedics in Hales Corners, Wisconsin. Jon J. Sisulak practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jon J. Sisulak is 1508999616. The last update date is 2007-07-08.

Jon J. Sisulak's current location address is 6160 S 108th St, Hales Corners, Wisconsin. You can contact this provider via phone number 4144252410 and fax number 4144259751. The mailing address for Jon J. Sisulak is 6160 S 108th St, Hales Corners, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jon J. Sisulak
Address 6160 S 108th St, Hales Corners, Wisconsin
Phone Number 4144252410
Fax Number 4144259751
Sole Proprietor N
Credentials D.D.S.,M.S

NPI Number Detail

NPI Number 1508999616
Provider Enumeration Date 2007-03-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6160 S 108th St
City Hales Corners
State Wisconsin (WI)
Post Code 531302525
Phone Number 4144252410
Fax Number 4144259751

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 5001846
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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FAQs about Jon J. Sisulak

What is the unique 10-digit identification code assigned to Jon J. Sisulak by the Centers for Medicare & Medicaid Services?

The Jon J. Sisulak has been issued the NPI (National Provider Identifier) 1508999616, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Jon J. Sisulak's facilities are situated?

The facilities of Jon J. Sisulak are physically located at the following address: 6160 S 108Th St, Hales Corners, WI, 531302525.

What is Jon J. Sisulak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jon J. Sisulak is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.

When was the Jon J. Sisulak's 1508999616 issued?

The Jon J. Sisulak's 1508999616 was issued on 2007-03-14.

As of what date was the information regarding Jon J. Sisulak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jon J. Sisulak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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