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Contact Information

GARY L KAEFER DDS SC
302 SOUTH PINE ST
GRANTSBURG, WI54840
 Phone: 715-463-2882
 Fax: 715-463-2885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GARY L KAEFER DDS SC

NPI # 1508949082
LBN Legal business name GARY L KAEFER DDS SC
Authorized official GARY KAEFER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WI License # 5001913
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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