Sparta Dental Center Sc in Sparta - Dental
Sparta Dental Center Sc - NPI 1174701676
Sparta Dental Center Sc is a Dental in Sparta, Wisconsin. Sparta Dental Center Sc practices all healthcare services and medical treatments related to Dental. The NPI Number for Sparta Dental Center Sc is 1174701676. The last update date is 2008-02-06.
Sparta Dental Center Sc's current location address is 3000 Riley Rd, Sparta, Wisconsin. You can contact this provider via phone number 6082695282 and fax number 6082696315. The mailing address for Sparta Dental Center Sc is 3000 Riley Rd, Sparta, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sparta Dental Center Sc |
|---|---|
| Address | 3000 Riley Rd, Sparta, Wisconsin |
| Phone Number | 6082695282 |
| Fax Number | 6082696315 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Knoll L Jennifer |
| Credentials | DDS |
| Telephone Number | 6082695282 |
NPI Number Detail
| NPI Number | 1174701676 |
|---|---|
| Provider Enumeration Date | 2008-02-06 |
| Last Updated Date | 2008-02-06 |
Provider Mailing Address Detail
| Address | 3000 Riley Rd |
|---|---|
| City | Sparta |
| State | Wisconsin (WI) |
| Post Code | 546566588 |
| Phone Number | 6082695282 |
| Fax Number | 6082696315 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 5770015 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identification code issued to Sparta Dental Center Sc by the Centers for Medicare & Medicaid Services?
The Sparta Dental Center Sc has been assigned the NPI (National Provider Identifier) 1174701676 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 address where Sparta Dental Center Sc is geographically located?
The Sparta Dental Center Sc is physically situated at the following location: 3000 Riley Rd, Sparta, WI, 546566588.
What is Sparta Dental Center Sc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sparta Dental Center Sc is Dental, and the corresponding taxonomy classification code for this specialized field is 261Qd0000X.
On what date did the Sparta Dental Center Sc receive the assignment of its 1174701676 from the Centers for Medicare & Medicaid Services?
The Sparta Dental Center Sc was issued its 1174701676 by the Centers for Medicare & Medicaid Services on 2008-02-06.
When was the information related to Sparta Dental Center Sc most recently updated or refreshed?
The details pertaining to the Sparta Dental Center Sc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-06.