Fall Creek Dental

LBN: Fall Creek Dental
Fall Creek Dental is an health care organization with primary practice located at 122 State St , Fall Creek WI 54742. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Fall Creek Dental can be contacted via phone (715) 877-2113, or through Pilgrim, Tony L via phone (715) 877-2113.

Contact Information

Primary practice address
122 State St Fall Creek WI 54742
Phone: (715) 877-2113
Fax: (715) 877-3495
Website:
Map and Directions
Authorized official contact:
Name: Pilgrim, Tony L Doctor of Dental Surgery (DDS)
Phone: (715) 877-2113

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3104 Wisconsin

Profile Details

NPI number 1295955342
LBN Legal business name Fall Creek Dental
DBA Doing business as
Authorized official Pilgrim, Tony L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2007
Last updated Aug 22nd, 2020 - about 6 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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