Brian R. Jakusz, DDS
Dentist · Colgate, WI
Practice location
N95w25901 CTY Hwy QSuite I
Colgate, WI 53017-9225
- Phone
- (262) 628-0555
NPI record
- NPI
- 1619042686
- Entity type
- Individual (Type 1)
- Enumeration date
- November 22, 2006
- Last updated
- April 29, 2011
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
5492015 | WI |
About Dr. Jakusz
Brian R. Jakusz, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is N95w25901 CTY Hwy Q, Suite I, Colgate, WI 53017-9225. The NPI number 1619042686 was assigned on November 22, 2006 and the record was last updated on April 29, 2011.
Dr. Jakusz lists a license in the registry: #5492015 (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 Brian R. Jakusz, DDS?
The NPI number is 1619042686.
What is the phone number of Dr. Jakusz?
The phone number listed for the practice location is (262) 628-0555.
Where is Dr. Jakusz located?
N95w25901 CTY Hwy Q, Suite I, Colgate, WI 53017-9225.
What is the taxonomy code for Dr. Jakusz?
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.