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Contact Information

HAYWARD FAMILY DENTISTRY SC
10541 N RANCH RD
HAYWARD, WI54843
 Phone: 715-634-2011
 Fax: 715-634-1352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for HAYWARD FAMILY DENTISTRY SC

NPI # 1083716906
LBN Legal business name HAYWARD FAMILY DENTISTRY SC
Authorized official PATRICK DUFFY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2006
Last updated 11/16/2007 - About 19 years ago
Identifiers
WI License # 3762
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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