St. Croix Valley Dental, Pllc in Hudson - Point Of Service
St. Croix Valley Dental, Pllc - NPI 1265618862
St. Croix Valley Dental, Pllc is a Point Of Service in Hudson, Wisconsin. St. Croix Valley Dental, Pllc practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for St. Croix Valley Dental, Pllc is 1265618862. The last update date is 2022-07-21.
St. Croix Valley Dental, Pllc's current location address is 1003 Pearson Dr., Hudson, Wisconsin. You can contact this provider via phone number 7153779966 and fax number 7153779933. The mailing address for St. Croix Valley Dental, Pllc is 1003 Pearson Dr., Hudson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Croix Valley Dental, Pllc |
|---|---|
| Address | 1003 Pearson Dr., Hudson, Wisconsin |
| Phone Number | 7153779966 |
| Fax Number | 7153779933 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PWNER |
|---|---|
| Authorized Official Name | Wolff S. Douglas |
| Credentials | D.D.S. |
| Telephone Number | 6514392600 |
NPI Number Detail
| NPI Number | 1265618862 |
|---|---|
| Provider Enumeration Date | 2008-01-14 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1003 Pearson Dr. |
|---|---|
| City | Hudson |
| State | Wisconsin (WI) |
| Post Code | 54016 |
| Phone Number | 7153779966 |
| Fax Number | 7153779933 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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What is the unique 10-digit identification code issued to St. Croix Valley Dental, Pllc by the Centers for Medicare & Medicaid Services?
The St. Croix Valley Dental, Pllc has been assigned the NPI (National Provider Identifier) 1265618862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of St. Croix Valley Dental, Pllc?
The St. Croix Valley Dental, Pllc is situated at 1003 Pearson Dr., in the city of Hudson, state of WI, with the zip code 54016.
What is St. Croix Valley Dental, Pllc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for St. Croix Valley Dental, Pllc is Point Of Service, and the taxonomy classification code that categorizes this area of expertise is 305S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265618862 to St. Croix Valley Dental, Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1265618862 to St. Croix Valley Dental, Pllc on 2008-01-14.
As of what date were the details related to St. Croix Valley Dental, Pllc most recently updated or revised?
The information pertaining to St. Croix Valley Dental, Pllc, including its address, specialty, and other relevant details, was last updated or revised on 2022-07-21.
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