Organization · Type 2 NPI
Generations Family Dental Care-Random Lake, LLC
General Practice Dentistry · Random Lake, WI
NPI number
1407387483
Active
Practice location
37 Hickory Dr
Random Lake, WI 53075-1675
Mailing address
2505 N Mayfair Rd, Suite 103
Wauwatosa, WI 53226-1404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
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.
Another provider at this address
About NPI 1407387483
Generations Family Dental Care-Random Lake, LLC's National Provider Identifier is 1407387483, issued on Mar 22, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Random Lake, WI. The record was last updated on Mar 22, 2017.