Provider Demographics
NPI:1932590478
Name:BINNINGER FAMILY DENTISTRY LLC
Entity Type:Organization
Organization Name:BINNINGER FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BINNINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:414-442-3360
Mailing Address - Street 1:3104 N 93RD ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-3559
Mailing Address - Country:US
Mailing Address - Phone:414-442-3360
Mailing Address - Fax:414-442-6860
Practice Address - Street 1:3104 N 93RD ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-3559
Practice Address - Country:US
Practice Address - Phone:414-442-3360
Practice Address - Fax:414-442-6860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental