Lake Country Dentistry, L.L.C. in Oconomowoc - Dental
Lake Country Dentistry, L.L.C. - NPI 1487868493
Lake Country Dentistry, L.L.C. is a Dental in Oconomowoc, Wisconsin. Lake Country Dentistry, L.L.C. practices all healthcare services and medical treatments related to Dental. The NPI Number for Lake Country Dentistry, L.L.C. is 1487868493. The last update date is 2020-08-22.
Lake Country Dentistry, L.L.C.'s current location address is 175 E Wisconsin Ave, Oconomowoc, Wisconsin. You can contact this provider via phone number 2625676003 and fax number 2625676018. The mailing address for Lake Country Dentistry, L.L.C. is 175 E Wisconsin Ave, Oconomowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Country Dentistry, L.L.C. |
|---|---|
| Address | 175 E Wisconsin Ave, Oconomowoc, Wisconsin |
| Phone Number | 2625676003 |
| Fax Number | 2625676018 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | GENERAL MA |
|---|---|
| Authorized Official Name | Cotey Jon James |
| Telephone Number | 2625676003 |
NPI Number Detail
| NPI Number | 1487868493 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 175 E Wisconsin Ave |
|---|---|
| City | Oconomowoc |
| State | Wisconsin (WI) |
| Post Code | 530663057 |
| Phone Number | 2625676003 |
| Fax Number | 2625676018 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lake Country Dentistry, L.L.C. by the Centers for Medicare & Medicaid Services?
The Lake Country Dentistry, L.L.C. has been assigned the NPI (National Provider Identifier) 1487868493 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Lake Country Dentistry, L.L.C.?
The Lake Country Dentistry, L.L.C. is situated at 175 E Wisconsin Ave, in the city of Oconomowoc, state of WI, with the zip code 530663057.
What is the Lake Country Dentistry, L.L.C.'s area of specialization and corresponding taxonomy classification?
The Lake Country Dentistry, L.L.C.'s specialty field is Dental, and it falls under the taxonomy code 261Qd0000X, which categorizes healthcare providers based on their specialties.
When was the Lake Country Dentistry, L.L.C.'s 1487868493 issued?
The Lake Country Dentistry, L.L.C.'s 1487868493 was issued on 2007-05-09.
When was the information pertaining to Lake Country Dentistry, L.L.C. most recently updated or revised?
The details related to Lake Country Dentistry, L.L.C., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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