GENERAL DENTISTRY OF SEYMOUR INC; NPI #1073618849

Contact Information

GENERAL DENTISTRY OF SEYMOUR INC

344 STATE HWY 54
STE 1
SEYMOUR, WI 54165

Phone: 920-833-2215
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	General Practice	1223G0001X

Indicates primary specialty

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NPI Profile & details for GENERAL DENTISTRY OF SEYMOUR INC

NPI # 1073618849

LBN Legal business name GENERAL DENTISTRY OF SEYMOUR INC

Authorized official DONALD HOFF - (OWNER PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/14/2006

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

Identifiers

WI	License #	W2493
WI	Medicaid	33409400

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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