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NPI Code Detail

MEDICARE: DR. PAUL THOMAS MAGGIO D.D.S.

MEDICARE:  DR. PAUL THOMAS MAGGIO  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryWI2548-015WI

General Provider Information

NPI Number : 1194712901
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL THOMAS MAGGIO D.D.S.
Provider Business Mailing Address
First Line : 5898 WOODLAND DR
Second Line :
City : WAUNAKEE
State : WI
Zip : 53597-8714
Country : US
Telephone Number : 608-849-4794
Fax Number :
Provider Business Practice Location Address
First Line : 5898 WOODLAND DR
Second Line :
City : WAUNAKEE
State : WI
Zip : 53597-8714
Country : US
Telephone Number : 608-849-4794
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 07/08/2007

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Directions to “ DR. PAUL THOMAS MAGGIO D.D.S.” Practice Location

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