Dennis J Mackin
Dentist - General Practice
701 Riverside Drive
Waupaca
, Wisconsin 54981
Dennis J Mackin
Dentist - General Practice
701 Riverside Drive
Waupaca
, Wisconsin 54981
(715) 258-4104
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dennis J Mackin
- 701 Riverside Drive
- Waupaca, WI
- Zip : 54981
- Fax : (715) 258-4104
- Phone : (715) 258-3311
Second Address
- Dennis J Mackin
- 701 Riverside Drive
- Waupaca, WI
- Zip : 54981
- Fax : (715) 258-4104
- Phone : (715) 258-3311
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 2044 | WI |
| Y | 213EG0000X | General Practice | 2044 | WI |
National Provider Identifier
| NPI | 1003949371 |
|---|---|
| Provider Name | Dennis J Mackin |
| First Address | Waupaca, WI 54981 |
| Second Address | Waupaca, WI 54981 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.