Provider Demographics
NPI:1154633451
Name:DR WILLIAM FINK DDS LTD
Entity Type:Organization
Organization Name:DR WILLIAM FINK DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-383-3200
Mailing Address - Street 1:505 WEST HISTORIC MITCHELL STREET
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-3510
Mailing Address - Country:US
Mailing Address - Phone:414-383-3200
Mailing Address - Fax:414-383-2183
Practice Address - Street 1:505 WEST HISTORIC MITCHELL STREET
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-3510
Practice Address - Country:US
Practice Address - Phone:414-383-3200
Practice Address - Fax:414-383-2183
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. WILLIAM FINK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-02
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1585G1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI33539600Medicaid