Waterford Family Dental Llc in Waterford - Dental
Waterford Family Dental Llc - NPI 1316081441
Waterford Family Dental Llc is a Dental in Waterford, Wisconsin. Waterford Family Dental Llc practices all healthcare services and medical treatments related to Dental. The NPI Number for Waterford Family Dental Llc is 1316081441. The last update date is 2019-04-22.
Waterford Family Dental Llc's current location address is 107a W Main St, Waterford, Wisconsin. You can contact this provider via phone number 2625345303 and fax number 2625144388. The mailing address for Waterford Family Dental Llc is 107a W Main St, Waterford, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Waterford Family Dental Llc |
|---|---|
| Address | 107a W Main St, Waterford, Wisconsin |
| Phone Number | 2625345303 |
| Fax Number | 2625144388 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Trittin Dan |
| Credentials | DDS |
| Telephone Number | 2625345303 |
NPI Number Detail
| NPI Number | 1316081441 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2019-04-22 |
Provider Mailing Address Detail
| Address | 107a W Main St |
|---|---|
| City | Waterford |
| State | Wisconsin (WI) |
| Post Code | 531854129 |
| Phone Number | 2625345303 |
| Fax Number | 2625144388 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 3199-015 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Post Comment/ Review Below
What is the Waterford Family Dental Llc's 1316081441?
The Waterford Family Dental Llc's NPI (National Provider Identifier) Number is 1316081441. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Waterford Family Dental Llc?
The Waterford Family Dental Llc is physically situated at 107A W Main St, in the city of Waterford, state of WI, with the postal code 531854129.
What is Waterford Family Dental Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Waterford Family Dental Llc is Dental, and the taxonomy code that classifies this field of practice is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316081441 to Waterford Family Dental Llc?
The Waterford Family Dental Llc received its 1316081441 assignment from the Centers for Medicare & Medicaid Services on 2007-02-20.
As of what date was the information pertaining to Waterford Family Dental Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Waterford Family Dental Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-04-22.