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Contact Information

ADVANCED DENTAL SPECIALISTS, LLC
2476 N ONEIDA ST STE 150
APPLETON, WI54911
 Phone: 920-954-8085
 Fax: 920-954-9080
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL SPECIALISTS, LLC

NPI Number 1578213484
LBN Legal business name ADVANCED DENTAL SPECIALISTS, LLC
Authorized official CELIA HAYES - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/24/2022
Last updated 03/24/2022 - 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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