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Contact Information

FAMILY DENTISTRY SC
205 S DIVISION ST
ROBERTS, WI54023
 Phone: 715-749-3724
 Fax: 715-246-6649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for FAMILY DENTISTRY SC · (Female)

NPI # 1063687150
Status Active
Credentials
Entity Individual
Enumeration date 04/29/2008
Last updated 04/29/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 38371000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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