Individual provider · Type 1 NPI
Paul M. Destefanis, DDS
General Practice Dentistry · Elm Grove, WI
NPI number
1023161304
Active
Practice location
1050 Legion Dr
Elm Grove, WI 53122-2230
Mailing address
525 Riverview Dr
Thiensville, WI 53092-1745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 4675 (WI) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Other general practice dentistry providers in Elm Grove
About NPI 1023161304
Paul M. Destefanis, DDS's National Provider Identifier is 1023161304, issued on Jan 19, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Elm Grove, WI. The record was last updated on Jul 8, 2007.