Organization · Type 2 NPI

Quirt Family Dentistry, SC

General Practice Dentistry · Edgar, WI

NPI number 1881969384 Active

Practice location

107 S 3rd Ave
Edgar, WI 54426-9282

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.

NPI record

NPI: 1881969384
Entity type: Organization (Type 2)
Issued: Mar 16, 2012
Last updated: Mar 16, 2012
Status: Active
Subpart: Yes of Quirt Family Dentistry, SC

Other names

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Quirt Family Dentistry - Edgar · doing business as

Authorized official

Kim Wilson
Credentialing Coordinator
(217) 540-5170

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881969384

Quirt Family Dentistry, SC's National Provider Identifier is 1881969384, issued on Mar 16, 2012. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Edgar, WI. The record was last updated on Mar 16, 2012.