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RIVERWALK DENTISTRY SC NPI 1780790295


NPI Information

NPI: 1780790295
Provider Name: RIVERWALK DENTISTRY SC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
735 N WATER STREET
SUITE 826
MILWAUKEE, WI
ZIP 53202
Phone: (414) 271-1770
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RIVERWALK DENTISTRY SC is a general practice dentist in Milwaukee, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. RIVERWALK DENTISTRY SC NPI is 1780790295. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

735 N WATER STREET
SUITE 826
MILWAUKEE, WI
ZIP 53202-104
Phone: (414) 271-1770
Fax: (414) 271-1746

The provider's authorized official is Bryan Gapson .
The authorized official title is DENTIST PRESIDENTPresident and has the following contact phone number (414) 271-1770.

The enumeration date for this NPI number is 8/21/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice5000468015WISCONSINNo
21223G0001XDentistGeneral PracticeWI3500015WISCONSINYes

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

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