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Contact Information

TOMAH FAMILY DENTISTRY LLC
214 LARKIN ST
TOMAH, WI54660
 Phone: 608-372-3298
 Fax: 608-372-3128
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TOMAH FAMILY DENTISTRY LLC

NPI Number 1558476184
LBN Legal business name TOMAH FAMILY DENTISTRY LLC
Authorized official JAMES CHITWOOD - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/21/2006
Last updated 04/19/2022 - 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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