Abc Family Dental Services, S.C.

LBN: Abc Family Dental Services, S.C.
Abc Family Dental Services, S.C. is an health care organization with primary practice located at 613 Center Dr , Luxemburg WI 54217-1031. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Abc Family Dental Services, S.C. can be contacted via phone (920) 845-2225, or through Iwen, Bryan William via phone (920) 845-2225.

Contact Information

Primary practice address
613 Center Dr Luxemburg WI 54217-1031
Phone: (920) 845-2225
Fax: (920) 845-5627
Website:
Map and Directions
Authorized official contact:
Name: Iwen, Bryan William Doctor of Dental Surgery (DDS)
Phone: (920) 845-2225

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4930 AND 4892 Wisconsin

Profile Details

NPI number 1871638254
LBN Legal business name Abc Family Dental Services, S.C.
DBA Doing business as
Authorized official Iwen, Bryan William Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Apr 15th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871638254 NPPES
Wisconsin MEDICAID 33740400
Wisconsin MEDICAID 33744300

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