PRESCOTT FAMILY DENTAL NPI 1093113789

NPI Information

  • NPI: 1093113789
  • Provider Name: PRESCOTT FAMILY DENTAL
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 1015 CAMPBELL ST N
    PRESCOTT, WI
    ZIP 54021
  • Phone: (715) 262-3382

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NPI Details

PRESCOTT FAMILY DENTAL is a general practice dentist in Prescott, 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. PRESCOTT FAMILY DENTAL NPI is 1093113789. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1015 CAMPBELL ST N
PRESCOTT, WI
ZIP 54021-157
Phone: (715) 262-3382
Fax: (715) 262-3063

The provider's authorized official is Cassie Lynn Erickson .
The authorized official title is Office Manager and has the following contact phone number (715) 262-3382.

The enumeration date for this NPI number is 12/11/2014 and was last updated on 3/8/2018.

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
11223G0001XDentistGeneral Practice3523WISCONSINNo
21223G0001XDentistGeneral Practice6932WISCONSINYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133478900MEDICAIDWISCONSIN
2100024073MEDICAIDWISCONSIN

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: 3/30/2025

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