Family Dentistry is a health care provider in Merrill, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||301 E 2nd St, Merrill, WI 54452-2317, US|
|Practice Location Phone||715-539-3211|
|Practice Location Fax|
|Legal Business Name||FAMILY DENTISTRY|
|Enumeration Date ?||Jun 7, 2007|
|Last Update Date ?||Jun 19, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers||General Practice||5002139||Wisconsin|
|Provider Id||Issuer State||Issuer Type||Issuer|
|5002139||Wisconsin||Other||LISCENSE NUMBER (WI)|
|1861438897||Wisconsin||Other||NPI- TYPE 1|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Family Dentistry's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Dan W Rajek (D.D.S.)|
|Authorized Official Title/Position||DENTIST|
|Authorized Official Phone Number||715-536-2282|