Mishicot Dental

LBN: Mishicot Dental
Mishicot Dental is an health care organization with primary practice located at 105 N Park Ln , Mishicot WI 54228-9537. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Mishicot Dental can be contacted via phone (920) 755-2336, or through Thiel, Jason Allen via phone (920) 755-2336.

Contact Information

Primary practice address
105 N Park Ln Mishicot WI 54228-9537
Phone: (920) 755-2336
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thiel, Jason Allen
Phone: (920) 755-2336

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5096-015 Wisconsin

Profile Details

NPI number 1407006869
LBN Legal business name Mishicot Dental
DBA Doing business as
Authorized official Thiel, Jason Allen
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2008
Last updated Sep 23rd, 2008 - about 18 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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