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Contact Information

WISCONSIN DENTAL SLEEP MEDICINE
413 JEFFERSON ST
WAUSAU, WI54403-5433
 Phone: 715-845-6419
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Laboratory

292200000X
Indicates primary specialty

NPI Profile & details for WISCONSIN DENTAL SLEEP MEDICINE

NPI Number 1558549451
LBN Legal business name WISCONSIN DENTAL SLEEP MEDICINE
Authorized official RONALD PREHN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2008
Last updated 02/04/2008 - About 18 years ago
Identifiers
WI License # 3010
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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