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Contact Information

BOSCOBEL FAMILY DENTAL, LLC
105 E. BLUFF STREET
BOSCOBEL, WI53805
 Phone: 608-375-4549
 Fax: 608-375-4665
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for BOSCOBEL FAMILY DENTAL, LLC

NPI # 1841746450
LBN Legal business name BOSCOBEL FAMILY DENTAL, LLC
Authorized official ANGELA SALMON - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2016
Last updated 09/01/2016 - About 10 years ago
Identifiers
WI License # 1001394
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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