Progressive Periodonitics And Dental Implants in Greenfield - Periodontics
Progressive Periodonitics And Dental Implants - NPI 1962553834
Progressive Periodonitics And Dental Implants is a Periodontics in Greenfield, Wisconsin. Progressive Periodonitics And Dental Implants practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Progressive Periodonitics And Dental Implants is 1962553834. The last update date is 2020-08-22.
Progressive Periodonitics And Dental Implants's current location address is 8405 W Forest Home Ave, Greenfield, Wisconsin. You can contact this provider via phone number 4144257710 and fax number 4144257424. The mailing address for Progressive Periodonitics And Dental Implants is 8405 W Forest Home Ave, Greenfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Progressive Periodonitics And Dental Implants |
|---|---|
| Address | 8405 W Forest Home Ave, Greenfield, Wisconsin |
| Phone Number | 4144257710 |
| Fax Number | 4144257424 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mcnamara J Timothy |
| Credentials | D.D.S. |
| Telephone Number | 4144257710 |
NPI Number Detail
| NPI Number | 1962553834 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8405 W Forest Home Ave |
|---|---|
| City | Greenfield |
| State | Wisconsin (WI) |
| Post Code | 532283407 |
| Phone Number | 4144257710 |
| Fax Number | 4144257424 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 2918 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to Progressive Periodonitics And Dental Implants by the Centers for Medicare & Medicaid Services (CMS)?
The Progressive Periodonitics And Dental Implants has been assigned the NPI (National Provider Identifier) 1962553834. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Progressive Periodonitics And Dental Implants is physically located?
The Progressive Periodonitics And Dental Implants is physically situated at the following address: 8405 W Forest Home Ave, Greenfield, WI, 532283407.
What is the Progressive Periodonitics And Dental Implants's specialty and taxonomy code?
The Progressive Periodonitics And Dental Implants's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
When did Progressive Periodonitics And Dental Implants receive its 1962553834 assignment?
The Progressive Periodonitics And Dental Implants was assigned its 1962553834 on 2007-01-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Progressive Periodonitics And Dental Implants last refreshed?
The information related to the Progressive Periodonitics And Dental Implants, including its address, specialty, and other relevant details, was last updated on 2020-08-22.