Wisconsin Dental Group, S.C. in Racine - Periodontics

Wisconsin Dental Group, S.C. - NPI 1366572927

Wisconsin Dental Group, S.C. is a Periodontics in Racine, Wisconsin. Wisconsin Dental Group, S.C. practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Wisconsin Dental Group, S.C. is 1366572927. The last update date is 2022-03-14.

Wisconsin Dental Group, S.C.'s current location address is 6218 Washington Ave Ste C, Racine, Wisconsin. You can contact this provider via phone number 2628861300 and fax number 2628861837. The mailing address for Wisconsin Dental Group, S.C. is 6218 Washington Ave Ste C, Racine, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wisconsin Dental Group, S.C.
Address 6218 Washington Ave Ste C, Racine, Wisconsin
Phone Number 2628861300
Fax Number 2628861837
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CREDENTIAL
Authorized Official Name Hayes Celia
Telephone Number 2175402100

NPI Number Detail

NPI Number 1366572927
Provider Enumeration Date 2007-03-06
Last Updated Date 2022-03-14

Provider Mailing Address Detail

Address 6218 Washington Ave Ste C
City Racine
State Wisconsin (WI)
Post Code 534063916
Phone Number 2628861300
Fax Number 2628861837

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
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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FAQs about Wisconsin Dental Group, S.C.

What is the Wisconsin Dental Group, S.C.'s unique identification number?

The Wisconsin Dental Group, S.C. has been assigned the NPI (National Provider Identifier) Number 1366572927 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Wisconsin Dental Group, S.C. is physically located?

The Wisconsin Dental Group, S.C. is situated at the following address: 6218 Washington Ave Ste C, Racine, WI 534063916.

What is Wisconsin Dental Group, S.C.'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 Wisconsin Dental Group, S.C. is Periodontics, and the taxonomy classification code that categorizes this area of expertise is 1223P0300X.

On what date did Wisconsin Dental Group, S.C. receive its 1366572927 assignment from the Centers for Medicare & Medicaid Services?

The Wisconsin Dental Group, S.C. was assigned its 1366572927 on 2007-03-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Wisconsin Dental Group, S.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Wisconsin Dental Group, S.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-03-14.

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