HIGHLAND PARK FAMILY DENTISTRY SC NPI 1700131935

NPI Information

NPI: 1700131935
Provider Name: HIGHLAND PARK FAMILY DENTISTRY, SC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6101 W VLIET ST
WAUWATOSA, WI
ZIP 53213
Phone: (414) 475-9035
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HIGHLAND PARK FAMILY DENTISTRY, SC is a dental clinic center in Wauwatosa, WI. HIGHLAND PARK FAMILY DENTISTRY, SC NPI is 1700131935. The provider is registered as an organization entity type.

The provider's business location address is:

6101 W VLIET ST
WAUWATOSA, WI
ZIP 53213-485
Phone: (414) 475-9035
Fax: (414) 475-9039

The provider's authorized official is Robin Ann Gorman .
The authorized official title is Owner and has the following contact phone number (414) 475-9035.

The enumeration date for this NPI number is 7/13/2012 and was last updated on 7/13/2012.

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	4097	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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