Kaukauna Family Dentistry, S.C.

LBN: Kaukauna Family Dentistry, S.C.
Kaukauna Family Dentistry, S.C. is an health care organization with primary practice located at 233 Dodge St , Kaukauna WI 54130-2500. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Kaukauna Family Dentistry, S.C. can be contacted via phone (920) 766-9542, or through Farrow, William J. via phone (920) 766-9542.

Contact Information

Primary practice address
233 Dodge St Kaukauna WI 54130-2500
Phone: (920) 766-9542
Fax: (920) 759-4439
Website:
Map and Directions
Authorized official contact:
Name: Farrow, William J. Doctor of Dental Surgery (DDS)
Phone: (920) 766-9542

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5001987-015 Wisconsin

Profile Details

NPI number 1073604013
LBN Legal business name Kaukauna Family Dentistry, S.C.
DBA Doing business as
Authorized official Farrow, William J. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Jun 21st, 2018 - about 6 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 1073604013 NPPES
Wisconsin MEDICAID 38377600

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