OAK PARK DENTAL CLINIC; NPI #1285760751

Contact Information

OAK PARK DENTAL CLINIC

24164 HIGHWAY 35-70
SIREN, WI 54872

Phone: 715-349-2297
Fax: 715-349-2298
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for OAK PARK DENTAL CLINIC

NPI #	`1285760751`
LBN Legal business name	OAK PARK DENTAL CLINIC
Authorized official	JON CRUZ - (MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/26/2007
Last updated	03/09/2011 - About 15 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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