Baggott, William Robert

Baggott, William Robert is an sole proprietor health care provider with primary practice located at 3365 S 103 St Suite 220, Greenfield WI 53227. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Baggott, William Robert can be contacted via phone (414) 543-9911.

Contact Information

Primary practice address
3365 S 103 St Suite 220 Greenfield WI 53227
Fax: (414) 543-9911
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2737 Wisconsin

Profile Details

NPI number 1851486484
LBN Legal business name Baggott, William Robert
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jun 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851486484 NPPES
Wisconsin MEDICAID 33429300

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