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Contact Information

FAMILY DENTISTRY SC
135 W SECOND STREET
NEW RICHMOND, WI54017
 Phone: 715-246-6603
 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 Number 1205915287
LBN Legal business name FAMILY DENTISTRY SC
Authorized official JOHN MIKE - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI Medicaid 38370900
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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