LAKE PARK DENTAL LLC NPI 1184279028

NPI Information

NPI: 1184279028
Provider Name: LAKE PARK DENTAL LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2524 E WEBSTER PL STE 201
MILWAUKEE, WI
ZIP 53211
Phone: (414) 963-9440
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LAKE PARK DENTAL LLC is a dental clinic center in Milwaukee, WI. LAKE PARK DENTAL LLC NPI is 1184279028. The provider is registered as an organization entity type.

The provider's business location address is:

2524 E WEBSTER PL STE 201
MILWAUKEE, WI
ZIP 53211-257
Phone: (414) 963-9440

The provider's authorized official is Megan E Graham .
The authorized official title is Owner and has the following contact phone number (414) 963-9440.

The enumeration date for this NPI number is 8/7/2019 and was last updated on 8/7/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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