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Contact Information

GENERAL DENTISTRY OF SEYMOUR INC
344 STATE HWY 54
STE 1
SEYMOUR, WI54165
 Phone: 920-833-2215
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GENERAL DENTISTRY OF SEYMOUR INC · (Female)

NPI # 1073618849
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # W2493
  • WI Medicaid 33409400
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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