Clarence E Kusik is a Dental in Okauchee, Wisconsin. Clarence E Kusik practices all healthcare services and medical treatments related to Dental. The NPI Number for Clarence E Kusik is 1245407550. The last update date is 2022-02-03.
Clarence E Kusik's current location address is N50 W34838 Wisconsin Ave., Okauchee, Wisconsin. You can contact this provider via phone number 2625673171. The mailing address for Clarence E Kusik is N50 W34838 Wisconsin Ave., Okauchee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Clarence E Kusik |
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Address | N50 W34838 Wisconsin Ave., Okauchee, Wisconsin |
Phone Number | 2625673171 |
Fax Number | |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1245407550 |
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Provider Enumeration Date | 2008-05-15 |
Last Updated Date | 2022-02-03 |
Provider Mailing Address Detail
Address | N50 W34838 Wisconsin Ave. |
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City | Okauchee |
State | Wisconsin (WI) |
Post Code | 53069 |
Phone Number | 2625673171 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Dental |
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Taxonomy | 261Qd0000X |
Licence No | 5000432-15 |
Definition: Provides general and specialized dental care and oral surgery. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
33506100 | WI | -- | |
1831369008 | MAYFAIR DENTAL S.C. | ||
38380800 | WI | -- |
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What is the unique 10-digit identification code issued to Clarence E Kusik by the Centers for Medicare & Medicaid Services?
The Clarence E Kusik has been assigned the NPI (National Provider Identifier) 1245407550 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Clarence E Kusik's facilities are situated?
The facilities of Clarence E Kusik are physically located at the following address: N50 W34838 Wisconsin Ave., Okauchee, WI, 53069.
What is the area of specialization for Clarence E Kusik, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clarence E Kusik is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did the Clarence E Kusik receive the assignment of its 1245407550 from the Centers for Medicare & Medicaid Services?
The Clarence E Kusik was issued its 1245407550 by the Centers for Medicare & Medicaid Services on 2008-05-15.
When was the information regarding Clarence E Kusik, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clarence E Kusik, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-02-03.