Stephen M. Domres, D.D.S.

Dentist · West Bend, WI

Individual Active NPI

NPI number 1710109632

Practice location

1625 W. Paradise Drive
West Bend, WI 53095
Phone
(262) 338-2992
Fax
(262) 338-6032

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NPI record

NPI
1710109632
Entity type
Individual (Type 1)
Enumeration date
May 2, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2487 WI

About Dr. Domres

Stephen M. Domres, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1625 W. Paradise Drive, West Bend, WI 53095. The NPI number 1710109632 was assigned on May 2, 2007 and the record was last updated on July 8, 2007.

Dr. Domres lists a license in the registry: #2487 (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 Stephen M. Domres, D.D.S.?

The NPI number is 1710109632.

What is the phone number of Dr. Domres?

The phone number listed for the practice location is (262) 338-2992.

Where is Dr. Domres located?

1625 W. Paradise Drive, West Bend, WI 53095.

What is the taxonomy code for Dr. Domres?

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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