Provider Demographics
NPI:1700952942
Name:FALLS DENTAL ASSOCIATES SC
Entity Type:Organization
Organization Name:FALLS DENTAL ASSOCIATES SC
Other - Org Name:DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:L
Authorized Official - Last Name:REMSHAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-253-9797
Mailing Address - Street 1:N85 W16186 APPLETON AVE
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051
Mailing Address - Country:US
Mailing Address - Phone:262-253-9797
Mailing Address - Fax:262-253-4895
Practice Address - Street 1:N85 W16186 APPLETON AVE
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051
Practice Address - Country:US
Practice Address - Phone:262-253-9797
Practice Address - Fax:262-253-4895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty