Troudt, Kristi L.
Troudt, Kristi L. is an individual health care provider with primary practice located at 1201 Oak Street Oakbrook Dental Group Sc, West Bend WI 53095. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Troudt, Kristi L. can be contacted via phone (262) 335-0822.Contact Information
Primary practice address
1201 Oak Street Oakbrook Dental Group Sc
West Bend WI 53095
Phone: (262) 335-0822
Fax: (262) 335-0814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6135 | Wisconsin |
Profile Details
| NPI number | 1508062571 |
|---|---|
| LBN Legal business name | Troudt, Kristi L. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Oct 30th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508062571 | NPPES |
| Wisconsin | MEDICAID | 33814100 |
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