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Contact Information

ADVANCED DENTAL SPECIALISTS, LLC
9052 N DEERBROOK TRL
MILWAUKEE, WI53223-2474
 Phone: 414-357-2040
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Endodontics

1223E0200X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL SPECIALISTS, LLC

NPI Number 1972773588
LBN Legal business name ADVANCED DENTAL SPECIALISTS, LLC
Authorized official PETER YOUNG - (VICE PRESIDENT OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2008
Last updated 03/31/2010 - About 16 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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