Leah Marie Fax, DDS

Dentist · West Bend, WI

Individual Active NPI

NPI number 1497370829

Practice location

309 N 7TH Ave
West Bend, WI 53095-3242
Phone
(262) 338-1164

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NPI record

NPI
1497370829
Entity type
Individual (Type 1)
Enumeration date
June 11, 2020
Last updated
June 11, 2020
Certified
June 11, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 1002308 WI

Mailing address

11241 Synergy Dr Apt 420
Wauwatosa, WI 53222-1346
Phone
(608) 438-9468

About Dr. Fax

Leah Marie Fax, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 309 N 7TH Ave, West Bend, WI 53095-3242. The NPI number 1497370829 was assigned on June 11, 2020 and the record was last updated on June 11, 2020.

Dr. Fax lists a license in the registry: #1002308 (WI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Leah Marie Fax, DDS?

The NPI number is 1497370829.

What is the phone number of Dr. Fax?

The phone number listed for the practice location is (262) 338-1164.

Where is Dr. Fax located?

309 N 7TH Ave, West Bend, WI 53095-3242.

What is the taxonomy code for Dr. Fax?

The primary taxonomy code is 122300000X – Dentist.

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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