INTEGRATIVE DENTAL SOLUTIONS LLC
NPI 1316315351
Durable Medical Equipment & Medical Supplies - Customized Equipment in Pewaukee, WI
- Organization
- Durable Medical Equipment & Medical Supp...
- Customized Equipment
About INTEGRATIVE DENTAL SOLUTIONS LLC
This page provides the complete NPI Profile along with additional information for Integrative Dental Solutions Llc, a provider established in Pewaukee, Wisconsin operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1316315351 assigned on September 2015. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Supriya Shetty Dds (Owner)
- NPI
- 1316315351 Verify this NPI
- Provider Name
- INTEGRATIVE DENTAL SOLUTIONS LLC
- Entity Type
- Organization
- Location Address
- N35W23770 CAPITOL DR STE E PEWAUKEE, WI 53072
- Location Phone
- (262) 691-4555
- Location Fax
- (262) 691-4579
- Mailing Address
- N35W23770 CAPITOL DR STE E PEWAUKEE, WI 53072
- Mailing Phone
- (262) 691-4555
- Mailing Fax
- (262) 691-4579
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-08-2015
- Last Update Date
- 09-08-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies Customized Equipment
- Taxonomy Code
- 332BC3200X
- Type
- Suppliers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316315351, enumerated as an "organization" on September 08, 2015.
The provider is located at N35W23770 CAPITOL DR STE E PEWAUKEE, WI 53072 and the phone number is (262) 691-4555.
Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.
