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Contact Information

262 FAMILY DENTAL, S.C.
1672 OLD SCHOOL HOUSE ROAD
OCONOMOWOC, WI53066
 Phone: 262-244-5220
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 262 FAMILY DENTAL, S.C.

NPI Number 1346117579
LBN Legal business name 262 FAMILY DENTAL, S.C.
Authorized official SAMUEL BEHREND - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2025
Last updated 10/22/2025 - About 8 months 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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