Advanced Family Dentistry, S.C.

LBN: Advanced Family Dentistry, S.C.
Advanced Family Dentistry, S.C. is an health care organization with primary practice located at 123 Hospital Dr Suite 201, Watertown WI 53098-3331. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Advanced Family Dentistry, S.C. can be contacted via phone (920) 261-0588, or through Sherry, Karen via phone (920) 261-0588.

Contact Information

Primary practice address
123 Hospital Dr Suite 201 Watertown WI 53098-3331
Phone: (920) 261-0588
Fax: (920) 261-0640
Website:
Map and Directions
Authorized official contact:
Name: Sherry, Karen
Phone: (920) 261-0588

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1861628133
LBN Legal business name Advanced Family Dentistry, S.C.
DBA Doing business as
Authorized official Sherry, Karen
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2009
Last updated Jan 11th, 2012 - about 13 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 1861628133 NPPES
Wisconsin MEDICAID 33741400

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