SIREN DENTAL CLINIC – NPI #1285760751
Clinic/Center

SIREN DENTAL CLINIC is an AHC clinic located in SIREN, WI. NPPES has assigned the NPI number 1285760751 to SIREN DENTAL CLINIC on February 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SIREN DENTAL CLINIC” is a dba name, the actual legal business name for this organization is OAK PARK DENTAL CLINIC. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 15 years ago on Mar 09, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SIREN DENTAL CLINIC below.

NPI Profile for
OAK PARK DENTAL CLINIC

NPI Number
1285760751
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OAK PARK DENTAL CLINIC
Doing Business As (dba): SIREN DENTAL CLINIC
Primary location
24164 HIGHWAY 35-70
SIREN, WI 54872
Phone: (715) 349-2297 Fax: (715) 349-2298
Mailing address
PO BOX 269
SIREN, WI 54872-0269
Phone: (715) 349-2297 Fax: (715) 349-2298
Organization Subpart
No
Authorized Official
JON CRUZ
MEMBER
Phone: (715) 349-2297
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.