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TRI-COUNTY COMMUNITY DENTAL CLINIC INC. NPI 1336237551


NPI Information

NPI: 1336237551
Provider Name: TRI-COUNTY COMMUNITY DENTAL CLINIC, INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
9 TRI PARK WAY
APPLETON, WI
ZIP 54914
Phone: (920) 882-9989
Get Directions

TRI-COUNTY COMMUNITY DENTAL CLINIC, INC. is a dental clinic center in Appleton, WI. TRI-COUNTY COMMUNITY DENTAL CLINIC, INC. NPI is 1336237551. The provider is registered as an organization entity type.

The provider's business location address is:

9 TRI PARK WAY
APPLETON, WI
ZIP 54914-661
Phone: (920) 882-9989
Fax: (920) 882-9961

The provider's authorized official is Sandy Drexler .
The authorized official title is Executive Director and has the following contact phone number (920) 882-9989.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/25/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
138392800MEDICAIDWISCONSIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.