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BURLINGTON DENTAL ARTS LLC NPI 1164089751


NPI Information

NPI: 1164089751
Provider Name: BURLINGTON DENTAL ARTS LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 52D1016894

Address:
190 GARDNER AVE STE 6
BURLINGTON, WI
ZIP 53105
Phone: (262) 763-8360
Get Directions

BURLINGTON DENTAL ARTS LLC is a general practice dentist in Burlington, 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. BURLINGTON DENTAL ARTS LLC NPI is 1164089751. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

190 GARDNER AVE STE 6
BURLINGTON, WI
ZIP 53105-160
Phone: (262) 763-8360

The provider's authorized official is Chad M Greving .
The authorized official title is Owner and has the following contact phone number (262) 763-8360.

The CLIA number assigned to this NPI record is 52D1016894 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2019 and was last updated on 5/20/2019.


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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