BROOKFIELD DENTAL CENTER LLC NPI 1649742370

NPI Information

NPI: 1649742370
Provider Name: BROOKFIELD DENTAL CENTER LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
17585 W NORTH AVE STE 210
BROOKFIELD, WI
ZIP 53045
Phone: (262) 784-4222
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BROOKFIELD DENTAL CENTER LLC is a dental clinic center in Brookfield, WI. BROOKFIELD DENTAL CENTER LLC NPI is 1649742370. The provider is registered as an organization entity type.

The provider's business location address is:

17585 W NORTH AVE STE 210
BROOKFIELD, WI
ZIP 53045-365
Phone: (262) 784-4222

The provider's authorized official is Tammy Kevin .
The authorized official title is Manager and has the following contact phone number (262) 873-0510.

The enumeration date for this NPI number is 12/19/2018 and was last updated on 12/19/2018.

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
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: 11/14/2023

NPI Synchronization or Removal

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