Generations Family Dental

LBN: Generations Family Dental
Generations Family Dental is an health care organization with primary practice located at 2505 N Mayfair Rd #103, Wauwatosa WI 53226. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Generations Family Dental can be contacted via phone (414) 258-2117, or through Lacourt, Fred A via phone (414) 258-2117.

Contact Information

Primary practice address
2505 N Mayfair Rd #103 Wauwatosa WI 53226
Phone: (414) 258-2117
Fax: (414) 258-4177
Website:
Map and Directions
Authorized official contact:
Name: Lacourt, Fred A Doctor of Dental Surgery (DDS)
Phone: (414) 258-2117

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3547WI Wisconsin

Profile Details

NPI number 1184793580
LBN Legal business name Generations Family Dental
DBA Doing business as
Authorized official Lacourt, Fred A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Jun 22nd, 2015 - about 11 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 1184793580 NPPES
Other 690859 UNITED CONCORDIA
Other 98924 UNITED CONCORDIA

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