James Stephen Wommack D.D.S.

NPI 1659589927 - Dentist - 122300000X

NPI Details
NPI 1659589927
Gender Male
Enumeration Date 05/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
115 W DOTY ST
MADISON WI, 53703-3276, US
Phone (608) 266-5942
Fax
Business Location
8540 GREENWAY BLVD
#103
MIDDLETON WI, 53562-4700, US
Phone (608) 831-1282
Fax
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 10437
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According to our database, Dr. James Stephen Wommack D.D.S. NPI is 1659589927, taxonomy code is 122300000X and license number is 10437, license state is located at Minnesota. James Stephen Wommack D.D.S. physically located at 115 W Doty St, Madison WI, 53703-3276. NPI Number James Stephen Wommack D.D.S. has the Individual type.

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1659589927 NPI number is provided on an as is basis without warranty of any kind. 1659589927 is maintained by the National Plan & Provider Enumeration System. The contents of James Stephen Wommack D.D.S. are for informational purposes only.