Davies Pediatric Dentistry

LBN: Davies Pediatric Dentistry
Davies Pediatric Dentistry is an health care organization with primary practice located at 2117 Corporate Drive Suite 100, Waukesha WI 53189. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Davies Pediatric Dentistry can be contacted via phone (262) 547-5813, or through Davies, Kirsten M. via phone (262) 547-5813.

Contact Information

Primary practice address
2117 Corporate Drive Suite 100 Waukesha WI 53189
Fax: (262) 547-5835
Website:
Authorized official contact:
Name: Davies, Kirsten M. Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4907-015 Wisconsin
Dental Providers / Pediatric Dentistry 1223P0221X 5000400-015 Wisconsin

Profile Details

NPI number 1003908856
LBN Legal business name Davies Pediatric Dentistry
DBA Doing business as
Authorized official Davies, Kirsten M. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 5th, 2011 - about 14 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 1003908856 NPPES
Wisconsin MEDICAID 33662900

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