ACCESS DENTAL CARE CLINIC PC; NPI #1386856227

Contact Information

ACCESS DENTAL CARE CLINIC PC

405 E 19TH ST
GRAFTON, WI 82001

Phone: 307-632-6665
Fax: 307-637-6733
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for ACCESS DENTAL CARE CLINIC PC

NPI # 1386856227

LBN Legal business name ACCESS DENTAL CARE CLINIC PC

Authorized official JOHN LUDDINGTON - (DENTIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/04/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

939

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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ACCESS DENTAL CARE CLINIC PC

Contact Information

Specialty

Dental

NPI Profile & details for ACCESS DENTAL CARE CLINIC PC

Reviews for ACCESS DENTAL CARE CLINIC PC