MONROE STREET FAMILY DENTAL LLC NPI 1184959405

NPI Information

NPI: 1184959405
Provider Name: MONROE STREET FAMILY DENTAL, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2702 MONROE ST
MADISON, WI
ZIP 53711
Phone: (608) 204-0222
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MONROE STREET FAMILY DENTAL, LLC is a dental clinic center in Madison, WI. MONROE STREET FAMILY DENTAL, LLC NPI is 1184959405. The provider is registered as an organization entity type.

The provider's business location address is:

2702 MONROE ST
MADISON, WI
ZIP 53711-888
Phone: (608) 204-0222
Fax: (608) 240-0224

The provider's authorized official is Benjamin Joseph Farrow .
The authorized official title is Member and has the following contact phone number (608) 204-0222.

The enumeration date for this NPI number is 10/4/2009 and was last updated on 10/4/2009.

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	5964-015	WISCONSIN	Yes

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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