Daniel Jason Dejarlais in Madison - Pediatric Dentistry
Daniel Jason Dejarlais - NPI 1669573895
Daniel Jason Dejarlais is a Pediatric Dentistry in Madison, Wisconsin. Daniel Jason Dejarlais practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Daniel Jason Dejarlais is 1669573895. The last update date is 2007-07-09.
Daniel Jason Dejarlais's current location address is 7001 Old Sauk Rd, Madison, Wisconsin. You can contact this provider via phone number 6088336545 and fax number 6088338516. The mailing address for Daniel Jason Dejarlais is 7001 Old Sauk Rd, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Jason Dejarlais |
|---|---|
| Address | 7001 Old Sauk Rd, Madison, Wisconsin |
| Phone Number | 6088336545 |
| Fax Number | 6088338516 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1669573895 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 7001 Old Sauk Rd |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 537172308 |
| Phone Number | 6088336545 |
| Fax Number | 6088338516 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5036-15 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33755100 | WI | -- |
Post Comment/ Review Below
What is the Daniel Jason Dejarlais's unique identification number?
The Daniel Jason Dejarlais has been assigned the NPI (National Provider Identifier) Number 1669573895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Daniel Jason Dejarlais is geographically located?
The Daniel Jason Dejarlais is physically situated at the following location: 7001 Old Sauk Rd, Madison, WI, 537172308.
What is Daniel Jason Dejarlais's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Daniel Jason Dejarlais is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
On what date did Daniel Jason Dejarlais receive its 1669573895 assignment from the Centers for Medicare & Medicaid Services?
The Daniel Jason Dejarlais was assigned its 1669573895 on 2006-09-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Daniel Jason Dejarlais most recently updated or refreshed?
The details pertaining to the Daniel Jason Dejarlais, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.