DCP OF SOUTHRIDGE SHOPPING CENTER LLC GREENFIELD, WI

Contact Information

DCP OF SOUTHRIDGE SHOPPING CENTER, LLC

7995 W LAYTON AVE
GREENFIELD, WI 53220-3710

Phone: 414-282-6583
Fax: 216-584-1020
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
General Practice	1223G0001X
Dentist	122300000X
Endodontics	1223E0200X
Oral and Maxillofacial Surgery	1223S0112X	19	Oral Surgery (Dentist only)
Orthodontics and Dentofacial Orthopedics	1223X0400X
Pediatric Dentistry	1223P0221X
Periodontics	1223P0300X
Prosthodontics	1223P0700X

Indicates primary specialty

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NPI Profile & details for DCP OF SOUTHRIDGE SHOPPING CENTER LLC · (Female)

NPI #	`1568435253`
Status	Active
Credentials
Entity	Individual
Enumeration date	02/11/2006
Last updated	03/19/2018 - About 8 years ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
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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DCP OF SOUTHRIDGE SHOPPING CENTER LLCGeneral Practice

Contact Information

Specialty

NPI Profile & details for DCP OF SOUTHRIDGE SHOPPING CENTER LLC · (Female)

Reviews for DCP OF SOUTHRIDGE SHOPPING CENTER, LLC

DCP OF SOUTHRIDGE SHOPPING CENTER LLC
General Practice