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Family Dentistry

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.

physician-icon Basic Information

Practice Location 301 E 2nd St, Merrill, WI 54452-2317, US
Practice Location Phone715-539-3211
Practice Location Fax
Legal Business NameFAMILY DENTISTRY
NPI ?1174726194
Entity TypeOrganization
Enumeration Date ? Jun 7, 2007
Last Update Date ? Jun 19, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Family Dentistry

SpecialtySpecializationLicenseLicense State
DentistGeneral Practice 5002139Wisconsin

legacy-id-icon Legacy Provider IDs of Family Dentistry

Provider IdIssuer StateIssuer TypeIssuer
5002139WisconsinOtherLISCENSE NUMBER (WI)
1861438897WisconsinOtherNPI- TYPE 1

official-icon Authorized Official of Family Dentistry

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/PositionDENTIST
Authorized Official Phone Number715-536-2282