Associated Dentists Of Watertown

LBN: Oak Ridge Dental Clinic,Sc
Associated Dentists Of Watertown is an health care organization with primary practice located at 101 Oakridge Court Suite C, Watertown WI 53094-4100. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Oak Ridge Dental Clinic,Sc can be contacted via phone (920) 261-5400, or through Wertz, Michael J via phone (920) 261-5400.

Contact Information

Primary practice address
101 Oakridge Court Suite C Watertown WI 53094-4100
Phone: (920) 261-5400
Fax: (920) 261-1590
Website:
Map and Directions
Authorized official contact:
Name: Wertz, Michael J Doctor of Dental Surgery (DDS)
Phone: (920) 261-5400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4872 Wisconsin

Profile Details

NPI number 1104950336
LBN Legal business name Oak Ridge Dental Clinic,Sc
DBA Doing business as Associated Dentists Of Watertown
Authorized official Wertz, Michael J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104950336 NPPES
Wisconsin MEDICAID 33741400
Wisconsin MEDICAID 33354400

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