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DAVID E KRIGBAUM DDS SC NPI 1841411659


NPI Information

NPI: 1841411659
Provider Name: DAVID E KRIGBAUM DDS SC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2620 STEWART AVE
SUITE 218
WAUSAU, WI
ZIP 54401
Phone: (715) 842-8811
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DAVID E KRIGBAUM DDS SC is an oral and maxillofacial surgery dentist in Wausau, WI. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DAVID E KRIGBAUM DDS SC NPI is 1841411659. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2620 STEWART AVE
SUITE 218
WAUSAU, WI
ZIP 54401-170
Phone: (715) 842-8811
Fax: (715) 848-5109

The provider's authorized official is David Krigbaum .
The authorized official title is Owner and has the following contact phone number (715) 842-8811.

The enumeration date for this NPI number is 5/1/2007 and was last updated on 4/20/2008.


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
11223S0112XDentistOral and Maxillofacial Surgery4501WISCONSINYes

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
11750453049OTHERWISCONSINNPI NUMBER
2=========OTHERWISCONSINEIN NUMBER

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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