WD DENTAL IMPLANT NPI 1487429205

NPI Information

NPI: 1487429205
Provider Name: WD DENTAL IMPLANT
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
21 S BRUNS AVE
PLYMOUTH, WI
ZIP 53073
Phone: (920) 892-2951
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WD DENTAL IMPLANT is a dental clinic center in Plymouth, WI. WD DENTAL IMPLANT NPI is 1487429205. The provider is registered as an organization entity type.

The provider's business location address is:

21 S BRUNS AVE
PLYMOUTH, WI
ZIP 53073-562
Phone: (920) 892-2951

The provider's authorized official is Denise Shih O'brien .
The authorized official title is Owner and has the following contact phone number (414) 520-6806.

The enumeration date for this NPI number is 11/21/2023 and was last updated on 11/21/2023.

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: 5/5/2024

NPI Synchronization or Removal

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