Comprehensive Dental Services LTD

General Practice Dentistry · Mequon, WI

Organization Active NPI

NPI number 1154480002

Practice location

10521 N Port Washington Rd
Suite 200
Mequon, WI 53092
Phone
(262) 241-2060
Fax
(262) 241-2064

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NPI record

NPI
1154480002
Entity type
Organization (Type 2)
Enumeration date
December 6, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2475-015 WI

Authorized official

Name
Dr. Marc Jacobson, DDS
Title
Vice President
Phone
(262) 241-2060

About Comprehensive Dental Services LTD

Comprehensive Dental Services LTD is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 10521 N Port Washington Rd, Suite 200, Mequon, WI 53092. The NPI number 1154480002 was assigned on December 6, 2006 and the record was last updated on August 22, 2020.

Comprehensive Dental Services LTD lists a license in the registry: #2475-015 (WI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Marc Jacobson, DDS, Vice President.

Frequently asked questions

What is the NPI number of Comprehensive Dental Services LTD?

The NPI number is 1154480002.

What is the phone number of Comprehensive Dental Services LTD?

The phone number listed for the practice location is (262) 241-2060.

Where is Comprehensive Dental Services LTD located?

10521 N Port Washington Rd, Suite 200, Mequon, WI 53092.

What is the taxonomy code for Comprehensive Dental Services LTD?

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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