The Center For Dental Excellence, S.C.

LBN: The Center For Dental Excellence, S.C.
The Center For Dental Excellence, S.C. is an health care organization with primary practice located at 410 Security Blvd , Green Bay WI 54313-9705. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. The Center For Dental Excellence, S.C. can be contacted via phone (920) 662-1440, or through Brusky, David J. via phone (920) 662-1440.

Contact Information

Primary practice address
410 Security Blvd Green Bay WI 54313-9705
Phone: (920) 662-1440
Fax: (920) 662-1443
Website:
Map and Directions
Authorized official contact:
Name: Brusky, David J. Doctor of Dental Surgery (DDS)
Phone: (920) 662-1440

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4498-015 Wisconsin

Profile Details

NPI number 1013124056
LBN Legal business name The Center For Dental Excellence, S.C.
DBA Doing business as
Authorized official Brusky, David J. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Mar 24th, 2009 - about 16 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 1013124056 NPPES
Wisconsin MEDICAID 33797600

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