Kenneth Donald Neidhart in Madison - Periodontics
Kenneth Donald Neidhart - NPI 1053400945
Kenneth Donald Neidhart is a Periodontics in Madison, Wisconsin. Kenneth Donald Neidhart practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Kenneth Donald Neidhart is 1053400945. The last update date is 2007-07-08.
Kenneth Donald Neidhart's current location address is 2705 Marshall Court, Madison, Wisconsin. You can contact this provider via phone number 6085922088. The mailing address for Kenneth Donald Neidhart is 2705 Marshall Court, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Donald Neidhart |
|---|---|
| Address | 2705 Marshall Court, Madison, Wisconsin |
| Phone Number | 6085922088 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1053400945 |
|---|---|
| Provider Enumeration Date | 2006-10-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2705 Marshall Court |
|---|---|
| City | Madison |
| State | Wisconsin (WI) |
| Post Code | 53705 |
| Phone Number | 6085922088 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 5001291-015 |
|
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 |
|
Post Comment/ Review Below
What is the Kenneth Donald Neidhart's 1053400945?
The Kenneth Donald Neidhart's NPI (National Provider Identifier) Number is 1053400945. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kenneth Donald Neidhart located?
The Kenneth Donald Neidhart is located at 2705 Marshall Court, Madison, WI 53705.
What is the Kenneth Donald Neidhart's specialty and taxonomy code?
The Kenneth Donald Neidhart's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
When was the Kenneth Donald Neidhart's 1053400945 issued?
The Kenneth Donald Neidhart's 1053400945 was issued on 2006-10-11.
As of what date was the information pertaining to Kenneth Donald Neidhart, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth Donald Neidhart, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY