Individual provider · Type 1 NPI
John Martin Connaughty, DDS
General Practice Dentistry · Wausau, WI
NPI number
1629098595
Active
Practice location
1101 6th St
Wausau, WI 54403-3505
Fax (715) 845-1057
Mailing address
1101 N. 6th St
Wausau, WI 54403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5001258 (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 1629098595
John Martin Connaughty, DDS's National Provider Identifier is 1629098595, issued on Jul 20, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Wausau, WI. The record was last updated on Jul 8, 2007.