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Contact Information

AFFILIATED DENTIST SC
5601 ODANA RD
MADISON, WI53719-1207
 Phone: 608-274-9077
 Fax: 608-274-9103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AFFILIATED DENTIST SC

NPI Number 1477663045
LBN Legal business name AFFILIATED DENTIST SC
Authorized official JOHN BUSBY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI License # 5002053
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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