Provider Demographics
NPI:1356426050
Name:TOY FAMILY DENTISTRY LLC
Entity type:Organization
Organization Name:TOY FAMILY DENTISTRY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:L
Authorized Official - Last Name:BUCHOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-246-6486
Mailing Address - Street 1:N63 W23524 SILVER SPRING DR
Mailing Address - Street 2:
Mailing Address - City:SUSSEX
Mailing Address - State:WI
Mailing Address - Zip Code:53089
Mailing Address - Country:US
Mailing Address - Phone:262-246-6486
Mailing Address - Fax:262-246-6791
Practice Address - Street 1:N63 W23524 SILVER SPRING DR
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:WI
Practice Address - Zip Code:53089
Practice Address - Country:US
Practice Address - Phone:262-246-6486
Practice Address - Fax:262-246-6791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty