Menomonie Street Dental

LBN: Menomonie Street Dental
Menomonie Street Dental is an health care organization with primary practice located at 1020 Menomonie St , Eau Claire WI 54703-5952. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Menomonie Street Dental can be contacted via phone (715) 834-8161, or through Hanke, Maria Ann via phone (715) 834-8161.

Contact Information

Primary practice address
1020 Menomonie St Eau Claire WI 54703-5952
Phone: (715) 834-8161
Fax: (715) 834-6272
Website:
Map and Directions
Authorized official contact:
Name: Hanke, Maria Ann
Phone: (715) 834-8161

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Wisconsin

Profile Details

NPI number 1689746851
LBN Legal business name Menomonie Street Dental
DBA Doing business as
Authorized official Hanke, Maria Ann
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1689746851 NPPES
Wisconsin MEDICAID 38355800

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