Individual provider · Type 1 NPI

Mark Wanezek

General Practice Dentistry · Hales Corners, WI

NPI number 1205992815 Active

Practice location

5151 S 108th St
Hales Corners, WI 53130-1328

Call (414) 427-0900 Map

Fax (414) 427-1828

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3434 (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.

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About NPI 1205992815

Mark Wanezek's National Provider Identifier is 1205992815, issued on Dec 28, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hales Corners, WI. The record was last updated on Jul 8, 2007.