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Contact Information

AFFILIATED DENTIST SC
5601 ODANA RD
MADISON, WI53719-1207
 Phone: 608-274-9077
 Fax: 608-274-9103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AFFILIATED DENTIST SC · (Female)

NPI # 1477663045
Status Active
Credentials
Entity Individual
Enumeration date 08/30/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 5002053
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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