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Contact Information

ADVANCED DENTAL
6425 W GREENFIELD AVE
WEST ALLIS, WI53214-4939
 Phone: 414-914-7000
 Fax: 414-914-8000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL · (Female)

NPI Number 1427463199
Status Active
Credentials
Entity Individual
Enumeration date 06/21/2014
Last updated 06/21/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 6839-15
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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