Moldenhauer, Blair David

Moldenhauer, Blair David is an sole proprietor health care provider with primary practice located at 238 W Main St , Sun Prairie WI 53590-2908. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is his primary health care specialty. Moldenhauer, Blair David can be contacted via phone (608) 318-2119.

Contact Information

Primary practice address
238 W Main St Sun Prairie WI 53590-2908
Phone: (608) 318-2119
Fax: (608) 318-2119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3331015 Wisconsin
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 3331015 Wisconsin

Profile Details

NPI number 1568786655
LBN Legal business name Moldenhauer, Blair David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2010
Last updated Mar 18th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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