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Contact Information

PAUL R SOMMERS DDS SC
121 OAKRIDGE COURT
WATERTOWN, WI53094
 Phone: 920-261-5110
 Fax: 920-261-5735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for PAUL R SOMMERS DDS SC

NPI Number 1114085412
LBN Legal business name PAUL R SOMMERS DDS SC
Authorized official PAUL SOMMERS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI License # 2297
Other 33386400 MEDICAL ASSISTANCE BADGER
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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