Orthodontic Specialists Of Madison

NPI 1275667149 - Dentist - 1223X0400X

NPI Details
NPI 1275667149
Enumeration Date 03/15/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEVEN D. STEVEN
Position PRESIDENT
Phone (608) 664-9500
Fax (608) 664-9566
Practice Location
202 S GAMMON RD
STE. 150
MADISON WI, 53717-1400, US
Phone (608) 664-9500
Fax (608) 664-9566
Business Location
202 S GAMMON RD
STE. 150
MADISON WI, 53717-1400, US
Phone (608) 664-9500
Fax (608) 664-9566
Toxanomy
Taxonomy Code 1223X0400X
License State Wisconsin
License Number 3613-015
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According to our database, Orthodontic Specialists Of Madison NPI is 1275667149, taxonomy code is 1223X0400X and license number is 3613-015, license state is located at Wisconsin. Orthodontic Specialists Of Madison physically located at 202 S Gammon Rd, Madison WI, 53717-1400. NPI Number 1033115704 has the healthcare provider type.

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1275667149 NPI number is provided on an as is basis without warranty of any kind. 1275667149 is maintained by the National Plan & Provider Enumeration System. The contents of Orthodontic Specialists Of Madison are for informational purposes only.