The Downtown Dental Group

LBN: The Downtown Dental Group
The Downtown Dental Group is an health care organization with primary practice located at 161 W Wisconsin Ave Suite 5036, Milwaukee WI 53203-2602. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. The Downtown Dental Group can be contacted via phone (414) 278-6070, or through Costello, Michael L via phone (414) 278-6070.

Contact Information

Primary practice address
161 W Wisconsin Ave Suite 5036 Milwaukee WI 53203-2602
Phone: (414) 278-6070
Fax: (414) 278-6087
Website:
Map and Directions
Authorized official contact:
Name: Costello, Michael L Doctor of Dental Surgery (DDS)
Phone: (414) 278-6070

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 2736 Wisconsin

Profile Details

NPI number 1902975709
LBN Legal business name The Downtown Dental Group
DBA Doing business as
Authorized official Costello, Michael L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1902975709 NPPES
Wisconsin MEDICAID 38373000

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