Waukesha County Community Dental Clinic - Menomonee Falls

LBN: Waukesha County Community Dental Clinic, Inc.
Waukesha County Community Dental Clinic - Menomonee Falls is an health care organization with primary practice located at N81W15062 Appleton Ave , Menomonee Falls WI 53051. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Waukesha County Community Dental Clinic, Inc. can be contacted via phone (262) 953-4699, or through Ramirez, Renee via phone (262) 953-4699.

Contact Information

Primary practice address
N81W15062 Appleton Ave Menomonee Falls WI 53051
Fax: (262) 522-2828
Website:
Authorized official contact:
Name: Ramirez, Renee

Health care specialties

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

Profile Details

NPI number 1053814772
LBN Legal business name Waukesha County Community Dental Clinic, Inc.
DBA Doing business as Waukesha County Community Dental Clinic - Menomonee Falls
Authorized official Ramirez, Renee
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 9th, 2018
Last updated Aug 10th, 2018 - about 6 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 1053814772 NPPES
Wisconsin MEDICAID 38398500

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