Provider Demographics
NPI:1740627801
Name:LABADIE, EMILY E (DDS)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:E
Last Name:LABADIE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 W CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WI
Mailing Address - Zip Code:53105-1202
Mailing Address - Country:US
Mailing Address - Phone:262-763-3430
Mailing Address - Fax:262-763-3410
Practice Address - Street 1:189 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WI
Practice Address - Zip Code:53105-1202
Practice Address - Country:US
Practice Address - Phone:262-763-3430
Practice Address - Fax:262-763-3410
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7064-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist