Wausau Smiles, Llc
LBN: Wausau Smiles, Llc
Wausau Smiles, Llc is an health care organization with primary practice located at 705 S 24Th Ave , Wausau WI 54401-5242. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Wausau Smiles, Llc can be contacted via phone (715) 842-3933, or through Bushong, Aaron J via phone (715) 573-3868.
Contact Information
Primary practice address
705 S 24Th Ave
Wausau WI 54401-5242
Phone: (715) 842-3933
Fax:
Website:
Authorized official contact:
Name: Bushong, Aaron J Doctor of Dental Surgery (DDS)
Phone: (715) 573-3868
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6524-15 | Wisconsin |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1245646082 |
|---|---|
| LBN Legal business name | Wausau Smiles, Llc |
| DBA Doing business as | |
| Authorized official | Bushong, Aaron J Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 1st, 2014 |
| Last updated | Nov 12th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245646082 | NPPES |
| Wisconsin | Other | 1871813329 | INDIVIDUAL NPI |
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