Provider Demographics
NPI:1952357212
Name:DRS. LEAMAN, SETNICAR & PIACSEK, S.C.
Entity Type:Organization
Organization Name:DRS. LEAMAN, SETNICAR & PIACSEK, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SETNICAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-567-4466
Mailing Address - Street 1:820 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:OCONOMOWOC
Mailing Address - State:WI
Mailing Address - Zip Code:53066-3920
Mailing Address - Country:US
Mailing Address - Phone:262-567-4466
Mailing Address - Fax:262-567-5957
Practice Address - Street 1:820 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:OCONOMOWOC
Practice Address - State:WI
Practice Address - Zip Code:53066-3920
Practice Address - Country:US
Practice Address - Phone:262-567-4466
Practice Address - Fax:262-567-5957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty