Fox River Periodontics Sc

LBN: Fox River Periodontics Sc
Fox River Periodontics Sc is an health care organization with primary practice located at 2557B East Calumet St , Appleton WI 54915. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Fox River Periodontics Sc can be contacted via phone (920) 733-7770, or through Cooke, Jason William via phone (920) 733-7770.

Contact Information

Primary practice address
2557B East Calumet St Appleton WI 54915
Phone: (920) 733-7770
Fax: (920) 733-7798
Website:
Map and Directions
Authorized official contact:
Name: Cooke, Jason William DDS,MS
Phone: (920) 733-7770

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 5864-015 Wisconsin

Profile Details

NPI number 1134339500
LBN Legal business name Fox River Periodontics Sc
DBA Doing business as
Authorized official Cooke, Jason William DDS,MS
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
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.

Request for update

Popular Providers