Poth Family Dental, S.C. in Fredonia - Dental
Poth Family Dental, S.C. - NPI 1376747493
Poth Family Dental, S.C. is a Dental in Fredonia, Wisconsin. Poth Family Dental, S.C. practices all healthcare services and medical treatments related to Dental. The NPI Number for Poth Family Dental, S.C. is 1376747493. The last update date is 2020-08-22.
Poth Family Dental, S.C.'s current location address is 100 Martin Dr, Fredonia, Wisconsin. You can contact this provider via phone number 2626922461 and fax number 2626929889. The mailing address for Poth Family Dental, S.C. is 100 Martin Dr, Fredonia, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Poth Family Dental, S.C. |
|---|---|
| Address | 100 Martin Dr, Fredonia, Wisconsin |
| Phone Number | 2626922461 |
| Fax Number | 2626929889 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Poth Everett John |
| Credentials | DDS |
| Telephone Number | 2626922461 |
NPI Number Detail
| NPI Number | 1376747493 |
|---|---|
| Provider Enumeration Date | 2007-06-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 100 Martin Dr |
|---|---|
| City | Fredonia |
| State | Wisconsin (WI) |
| Post Code | 530219455 |
| Phone Number | 2626922461 |
| Fax Number | 2626929889 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 4245-015 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Poth Family Dental, S.C. by the Centers for Medicare & Medicaid Services?
The Poth Family Dental, S.C. has been issued the NPI (National Provider Identifier) 1376747493, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Poth Family Dental, S.C.'s facilities are situated?
The facilities of Poth Family Dental, S.C. are physically located at the following address: 100 Martin Dr, Fredonia, WI, 530219455.
What is Poth Family Dental, S.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Poth Family Dental, S.C.'s area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.
On what date was the 1376747493 assigned to Poth Family Dental, S.C.?
The Poth Family Dental, S.C. was issued its 1376747493 on 2007-06-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Poth Family Dental, S.C.'s details last updated?
The information pertaining to the Poth Family Dental, S.C., including its address, specialty, and other details, was most recently updated on 2020-08-22.