Sandberg Modern Dental Llc

LBN: Sandberg Modern Dental Llc
Sandberg Modern Dental Llc is an health care organization with primary practice located at 6535 W North Ave , Wauwatosa WI 53213-2016. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Sandberg Modern Dental Llc can be contacted via phone (414) 258-8190, or through Sandberg, Matthew via phone (414) 258-8190.

Contact Information

Primary practice address
6535 W North Ave Wauwatosa WI 53213-2016
Phone: (414) 258-8190
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sandberg, Matthew Doctor of Dental Medicine (DMD)
Phone: (414) 258-8190

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X WI 6664-15 Wisconsin

Profile Details

NPI number 1285029652
LBN Legal business name Sandberg Modern Dental Llc
DBA Doing business as
Authorized official Sandberg, Matthew Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2015
Last updated Apr 2nd, 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.

Request for update

Popular Providers