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Contact Information

BELLE CITY FAMILY DENTISTRY, S.C.
1300 S GREEN BAY RD
SUITE 206
RACINE, WI53406
 Phone: 262-633-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for BELLE CITY FAMILY DENTISTRY, S.C.

NPI # 1023565686
LBN Legal business name BELLE CITY FAMILY DENTISTRY, S.C.
Authorized official KIMBERLY OLESEN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Identifiers
WI License # 5001949-015
WI License # 7238-15
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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