Jason Potrykus, D.D.S.

General Practice Dentistry · Eagle River, WI

Individual Active NPI

NPI number 1124254644

Practice location

213 Railroad St
Eagle River, WI 54521-8139
Phone
(715) 479-4686
Fax
(715) 479-5281

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NPI record

NPI
1124254644
Entity type
Individual (Type 1)
Enumeration date
June 10, 2009
Last updated
June 10, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6388-15 WI

Mailing address

PO Box 1075
Eagle River, WI 54521-1075
Phone
(715) 479-4686
Fax
(715) 479-5281

About Dr. Potrykus

Jason Potrykus, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 213 Railroad St, Eagle River, WI 54521-8139. The NPI number 1124254644 was assigned on June 10, 2009 and the record was last updated on June 10, 2009.

Dr. Potrykus lists a license in the registry: #6388-15 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jason Potrykus, D.D.S.?

The NPI number is 1124254644.

What is the phone number of Dr. Potrykus?

The phone number listed for the practice location is (715) 479-4686.

Where is Dr. Potrykus located?

213 Railroad St, Eagle River, WI 54521-8139.

What is the taxonomy code for Dr. Potrykus?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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