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OrganizationActive

Edp Of Wisconsin, Sc

Clinic/Center - Dental

ROSEANNE BRUNENKANT
NPI: 1033671912Oconomowoc, Wisconsin, 53066(312) 800-1270

About Edp Of Wisconsin, Sc

Edp Of Wisconsin, Sc is a healthcare organization providing Clinic/Center - Dental services, with specialized expertise in Dental, registered under National Provider Identifier (NPI) number 1033671912.

The authorized official for Edp Of Wisconsin, Sc is ROSEANNE BRUNENKANT. The organization is headquartered at 820 SUMMIT AVE, Oconomowoc, Wisconsin 53066. The main office can be reached at (312) 800-1270.

It is part of ELITE DENTAL PARTNERS. Edp Of Wisconsin, Sc has been NPI-registered since 2019.

Locations & Contact

Primary Location

Address
820 SUMMIT AVE
City
Oconomowoc
State
Wisconsin
ZIP
53066-3973
Phone
(312) 800-1270
View on Google Maps

Authorized Official

Name
ROSEANNE BRUNENKANT

Mailing Address

Address
141 W JACKSON BLVD STE 210
City
CHICAGO
State
IL
ZIP
606043048

NPI Registration

Enumeration Date
Last Updated
Certification Date

Services & Taxonomy

Specialty & Classification

Primary Specialty
Clinic/Center - Dental
Classification
Clinic/Center
Specialization
Dental
Taxonomy Code
261QD0000X

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No
Group Practice
ELITE DENTAL PARTNERS

Frequently Asked Questions

What is Edp Of Wisconsin, Sc's NPI number?
Edp Of Wisconsin, Sc's National Provider Identifier (NPI) is 1033671912. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Edp Of Wisconsin, Sc specialize in?
Edp Of Wisconsin, Sc specializes in Clinic/Center - Dental.
Where is Edp Of Wisconsin, Sc located?
Edp Of Wisconsin, Sc practices at 820 SUMMIT AVE, Oconomowoc, Wisconsin 53066. You can reach them by phone at (312) 800-1270.
Does Edp Of Wisconsin, Sc accept Medicare?
Based on available data, Edp Of Wisconsin, Sc is not currently enrolled in the Medicare program.
Does Edp Of Wisconsin, Sc offer telehealth or virtual visits?
Edp Of Wisconsin, Sc does not currently offer telehealth services. In-person visits are required at their practice location.

What is a Type 2 NPI (Organization)?

A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Edp Of Wisconsin, Sc holds NPI 1033671912, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.