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Contact Information

ADVANCED DENTAL SPECIALISTS, LLC
2600 N MAYFAIR RD STE 101
WAUWATOSA, WI53226-1320
 Phone: 414-475-1418
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL SPECIALISTS, LLC

NPI # 1174271076
LBN Legal business name ADVANCED DENTAL SPECIALISTS, LLC
Authorized official CELIA HAYES - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/10/2022
Last updated 03/10/2022 - About 4 years ago
Identifiers n/a
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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