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GENERATIONS FAMILY DENTAL CARE-TOSA LLC NPI 1073136420


NPI Information

NPI: 1073136420
Provider Name: GENERATIONS FAMILY DENTAL CARE-TOSA, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2505 N MAYFAIR RD STE 103
WAUWATOSA, WI
ZIP 53226
Phone: (414) 258-2117
Get Directions

GENERATIONS FAMILY DENTAL CARE-TOSA, LLC is a general practice dentist in Wauwatosa, 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. GENERATIONS FAMILY DENTAL CARE-TOSA, LLC NPI is 1073136420. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2505 N MAYFAIR RD STE 103
WAUWATOSA, WI
ZIP 53226-404
Phone: (414) 258-2117
Fax: (414) 258-4117

The provider's authorized official is Matthew J Babcock .
The authorized official title is Managing Member and has the following contact phone number (414) 258-2117.

The enumeration date for this NPI number is 5/20/2020 and was last updated on 5/20/2020.


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 PracticeYes

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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