Eugene Mathias

General Practice Dentistry · Kenosha, WI

Individual Active NPI

NPI number 1417014143

Practice location

3410 80TH St
Kenosha, WI 53142-4975
Phone
(262) 697-0825
Fax
(262) 697-0116

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NPI record

NPI
1417014143
Entity type
Individual (Type 1)
Enumeration date
January 2, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2658 WI

About Eugene Mathias

Eugene Mathias is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3410 80TH St, Kenosha, WI 53142-4975. The NPI number 1417014143 was assigned on January 2, 2007 and the record was last updated on July 8, 2007.

Eugene Mathias lists a license in the registry: #2658 (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 Eugene Mathias?

The NPI number is 1417014143.

What is the phone number of Eugene Mathias?

The phone number listed for the practice location is (262) 697-0825.

Where is Eugene Mathias located?

3410 80TH St, Kenosha, WI 53142-4975.

What is the taxonomy code for Eugene Mathias?

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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