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Contact Information

MICHAEL S KOPECKY, DDS MS
145 N 18TH AVENUE
WEST BEND, WI53095
 Phone: 262-334-3084
 Fax: 262-334-3552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for MICHAEL S KOPECKY · (Male)

NPI Number 1023173069
Status Active
Credentials DDS MS
Entity Individual
Enumeration date 12/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 4408
  • WI Medicaid 33761800
  • Other 650286 UNITED CONCORDIA
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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