Individual provider · Type 1 NPI

Corey Lee Brimacombe, D.D.S

Pediatric Dentistry · Wausau, WI

NPI number 1659596153 Active

Practice location

413 N 17th Ave
Wausau, WI 54401-4226

Call (715) 842-4649 Map

Fax (715) 842-7331

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X5059 (WI)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1659596153

Corey Lee Brimacombe, D.D.S's National Provider Identifier is 1659596153, issued on Apr 17, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Wausau, WI. The record was last updated on Jul 9, 2007.