Individual provider · Type 1 NPI
Michael P. Funk, DDS
Pediatric Dentistry · La Crosse, WI
NPI number
1881690170
Active
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 2321 (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 1881690170
Michael P. Funk, DDS's National Provider Identifier is 1881690170, issued on Jun 22, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in La Crosse, WI. The record was last updated on Oct 12, 2010.