RENNER AND MARTIN DDS SC NPI 1063634228

NPI Information

NPI: 1063634228
Provider Name: RENNER AND MARTIN DDS SC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1111 DELAFIELD ST. #319
WAUKESHA, WI
ZIP 53188
Phone: (262) 549-3640
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RENNER AND MARTIN DDS SC is a dental clinic center in Waukesha, WI. RENNER AND MARTIN DDS SC NPI is 1063634228. The provider is registered as an organization entity type.

The provider's business location address is:

1111 DELAFIELD ST. #319
WAUKESHA, WI
ZIP 53188-407
Phone: (262) 549-3640

The provider's authorized official is William Robert Renner .
The authorized official title is Owner and has the following contact phone number (262) 549-3640.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	5002149-015	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	33399400	OTHER	WISCONSIN	BADGERCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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