Baylakes Center For Complex Dentistry Sc in Green Bay - Prosthodontics
Baylakes Center For Complex Dentistry Sc - NPI 1083705495
Baylakes Center For Complex Dentistry Sc is a Prosthodontics in Green Bay, Wisconsin. Baylakes Center For Complex Dentistry Sc practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Baylakes Center For Complex Dentistry Sc is 1083705495. The last update date is 2014-04-22.
Baylakes Center For Complex Dentistry Sc's current location address is 138 Siegler St, Green Bay, Wisconsin. You can contact this provider via phone number 9204999958 and fax number 9204991492. The mailing address for Baylakes Center For Complex Dentistry Sc is 138 Siegler St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Baylakes Center For Complex Dentistry Sc |
|---|---|
| Address | 138 Siegler St, Green Bay, Wisconsin |
| Phone Number | 9204999958 |
| Fax Number | 9204991492 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lasnoski William Joseph |
| Credentials | DDS MS |
| Telephone Number | 9204999958 |
NPI Number Detail
| NPI Number | 1083705495 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2014-04-22 |
Provider Mailing Address Detail
| Address | 138 Siegler St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 54303 |
| Phone Number | 9204999958 |
| Fax Number | 9204991492 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 2901015553 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique 10-digit identifier code issued to Baylakes Center For Complex Dentistry Sc by the Centers for Medicare & Medicaid Services?
The Baylakes Center For Complex Dentistry Sc has been assigned the NPI (National Provider Identifier) 1083705495 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Baylakes Center For Complex Dentistry Sc is physically located?
The Baylakes Center For Complex Dentistry Sc is physically situated at the following address: 138 Siegler St, Green Bay, WI, 54303.
What is the Baylakes Center For Complex Dentistry Sc's area of specialization and corresponding taxonomy classification?
The Baylakes Center For Complex Dentistry Sc's specialty field is Prosthodontics, and it falls under the taxonomy code 1223P0700X, which categorizes healthcare providers based on their specialties.
When did the Baylakes Center For Complex Dentistry Sc receive its 1083705495?
The Baylakes Center For Complex Dentistry Sc was issued its 1083705495 on 2006-09-28, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Baylakes Center For Complex Dentistry Sc most recently updated or revised?
The details related to Baylakes Center For Complex Dentistry Sc, including its address, specialty, and other relevant information, were last updated or revised on 2014-04-22.
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