LITTLE SPROUTS DENTAL LLC NPI 1417298696

NPI Information

NPI: 1417298696
Provider Name: LITTLE SPROUTS DENTAL, LLC

Doing Business As: LITTLE SPROUTS DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
W62N563 WASHINGTON AVE
LOWER LEVEL
CEDARBURG, WI
ZIP 53012
Phone: (262) 297-0079
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LITTLE SPROUTS DENTAL, LLC is a dental clinic center in Cedarburg, WI. LITTLE SPROUTS DENTAL, LLC NPI is 1417298696. The provider is registered as an organization entity type.
The provider Is Doing Business As Little Sprouts Dental.

The provider's business location address is:

W62N563 WASHINGTON AVE
LOWER LEVEL
CEDARBURG, WI
ZIP 53012-986
Phone: (262) 297-0079

The provider's authorized official is Matthew H. Langewisch .
The authorized official title is Managing Member and has the following contact phone number (262) 297-0079.

The enumeration date for this NPI number is 3/13/2013 and was last updated on 3/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	5824-15	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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