KIM TRAN-WERTZ DDS MS LLC NPI 1801198858

NPI Information

NPI: 1801198858
Provider Name: KIM TRAN-WERTZ DDS MS LLC
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
12720 W NORTH AVE
BROOKFIELD, WI
ZIP 53005
Phone: (262) 782-2300
Get Directions

KIM TRAN-WERTZ DDS MS LLC is a prosthodontics dentist in Brookfield, WI. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. KIM TRAN-WERTZ DDS MS LLC NPI is 1801198858. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12720 W NORTH AVE
BROOKFIELD, WI
ZIP 53005-637
Phone: (262) 782-2300
Fax: (262) 782-2313

The provider's authorized official is Kim Tran-wertz .
The authorized official title is Dentist and has the following contact phone number (262) 782-2300.

The enumeration date for this NPI number is 11/24/2010 and was last updated on 11/24/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0700X	Dentist	Prosthodontics	4384-015	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	33770200	MEDICAID	WISCONSIN
2	000076983	MEDICARE PIN	WISCONSIN

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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