Kirk Fishbaugh Dentistry, Ltd. in Green Bay - General Practice
Kirk Fishbaugh Dentistry, Ltd. - NPI 1134340938
Kirk Fishbaugh Dentistry, Ltd. is a General Practice in Green Bay, Wisconsin. Kirk Fishbaugh Dentistry, Ltd. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kirk Fishbaugh Dentistry, Ltd. is 1134340938. The last update date is 2020-08-22.
Kirk Fishbaugh Dentistry, Ltd.'s current location address is 2625 Tulip Ln, Green Bay, Wisconsin. You can contact this provider via phone number 9204341515. The mailing address for Kirk Fishbaugh Dentistry, Ltd. is 2625 Tulip Ln, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kirk Fishbaugh Dentistry, Ltd. |
|---|---|
| Address | 2625 Tulip Ln, Green Bay, Wisconsin |
| Phone Number | 9204341515 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fishbaugh Richard Kirk |
| Credentials | D.D.S. |
| Telephone Number | 9204341515 |
NPI Number Detail
| NPI Number | 1134340938 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2625 Tulip Ln |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543136855 |
| Phone Number | 9204341515 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 4714-015 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Kirk Fishbaugh Dentistry, Ltd. by the Centers for Medicare & Medicaid Services?
The Kirk Fishbaugh Dentistry, Ltd. has been issued the NPI (National Provider Identifier) 1134340938, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kirk Fishbaugh Dentistry, Ltd. located?
The Kirk Fishbaugh Dentistry, Ltd. is located at 2625 Tulip Ln, Green Bay, WI 543136855.
What is Kirk Fishbaugh Dentistry, Ltd.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kirk Fishbaugh Dentistry, Ltd. is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134340938 to Kirk Fishbaugh Dentistry, Ltd.?
The Kirk Fishbaugh Dentistry, Ltd. received its 1134340938 assignment from the Centers for Medicare & Medicaid Services on 2007-05-01.
As of what date were the details related to Kirk Fishbaugh Dentistry, Ltd. most recently updated or revised?
The information pertaining to Kirk Fishbaugh Dentistry, Ltd., including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.