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Contact Information

FAMILY DENTISTRY SC
205 S DIVISION ST
ROBERTS, WI54023
 Phone: 715-749-3724
 Fax: 715-246-6649
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for FAMILY DENTISTRY SC

NPI # 1063687150
LBN Legal business name FAMILY DENTISTRY SC
Authorized official KELLIE LINDQUIST - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/29/2008
Last updated 04/29/2008 - About 18 years ago
Identifiers
WI Medicaid 38371000
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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