National Provider Identifier Database

ACCESS DENTAL CARE CLINIC PC
Dental


Contact Information

ACCESS DENTAL CARE CLINIC PC
405 E 19TH ST
GRAFTON, WI82001
Phone: 307-632-6665
Fax: 307-637-6733
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for ACCESS DENTAL CARE CLINIC PC

NPI Number 1386856227
Legal business name
LBN
ACCESS DENTAL CARE CLINIC PC
Authorized official JOHN LUDDINGTON - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 05/04/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: 939

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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