Organization · Type 2 NPI
Black Creek Dental LLC
General Practice Dentistry · Black Creek, WI
NPI number
1457716763
Active
Practice location
207 S Main St
Black Creek, WI 54106-9742
Fax (920) 984-3317
Mailing address
PO Box 255
Black Creek, WI 54106-0255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 4932-15 (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.
About NPI 1457716763
Black Creek Dental LLC's National Provider Identifier is 1457716763, issued on Dec 31, 2015. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Black Creek, WI. The record was last updated on Dec 31, 2015.