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ELMBROOK FAMILY DENTAL PARTNERS SC NPI 1134448632


NPI Information

NPI: 1134448632
Provider Name: ELMBROOK FAMILY DENTAL PARTNERS SC

Doing Business As: ELMBROOK FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
125 N EXECUTIVE DR
SUITE 105
BROOKFIELD, WI
ZIP 53005
Phone: (262) 784-7201
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ELMBROOK FAMILY DENTAL PARTNERS SC is a general practice dentist in Brookfield, 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. ELMBROOK FAMILY DENTAL PARTNERS SC NPI is 1134448632. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elmbrook Family Dental.

The provider's business location address is:

125 N EXECUTIVE DR
SUITE 105
BROOKFIELD, WI
ZIP 53005-070
Phone: (262) 784-7201
Fax: (262) 784-0542

The provider's authorized official is Brandon Andrew Brunner .
The authorized official title is President and has the following contact phone number (262) 784-7201.

The enumeration date for this NPI number is 5/24/2010 and was last updated on 5/24/2010.


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 Practice5526-015WISCONSINYes

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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