Dr. Mark Boeche D.D.S. Inc.

LBN: Dr. Mark Boeche D.D.S. Inc.
Dr. Mark Boeche D.D.S. Inc. is an health care organization with primary practice located at 1915 E Milwaukee St , Janesville WI 53545-2647. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dr. Mark Boeche D.D.S. Inc. can be contacted via phone (608) 754-5768, or through Boeche, Mark R. via phone (608) 754-5768.

Contact Information

Primary practice address
1915 E Milwaukee St Janesville WI 53545-2647
Phone: (608) 754-5768
Fax: (608) 754-7195
Website:
Map and Directions
Authorized official contact:
Name: Boeche, Mark R. Doctor of Dental Surgery (DDS)
Phone: (608) 754-5768

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3112 Wisconsin

Profile Details

NPI number 1235140013
LBN Legal business name Dr. Mark Boeche D.D.S. Inc.
DBA Doing business as
Authorized official Boeche, Mark R. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jun 27th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235140013 NPPES
Wisconsin MEDICAID 33471100

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