Complete Family Dentistry

LBN: Complete Family Dentistry On Broadway
Complete Family Dentistry is an health care organization with primary practice located at 419 E Broadway , Waukesha WI 53186-5082. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Complete Family Dentistry On Broadway can be contacted via phone (262) 549-6850, or through Jahimiak, Karen M via phone (262) 549-6850.

Contact Information

Primary practice address
419 E Broadway Waukesha WI 53186-5082
Phone: (262) 549-6850
Fax: (262) 549-2157
Website:
Map and Directions
Authorized official contact:
Name: Jahimiak, Karen M Doctor of Dental Surgery (DDS)
Phone: (262) 549-6850

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3689 Wisconsin

Profile Details

NPI number 1174524425
LBN Legal business name Complete Family Dentistry On Broadway
DBA Doing business as Complete Family Dentistry
Authorized official Jahimiak, Karen M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 22nd, 2020 - about 5 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 1174524425 NPPES
Wisconsin MEDICAID 33495600

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