MEDICARE: PAUL J MAJEWSKI DDS

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
1	1223G0001X	General Practice Dentistry	3378	WI

General Provider Information

NPI Number	:	1447349642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL J MAJEWSKI DDS

Provider Business Mailing Address
First Line	:	8448 S TUCKAWAY SHORES DR
Second Line	:
City	:	FRANKLIN
State	:	WI
Zip	:	53132-9288
Country	:	US
Telephone Number	:	414-529-3933
Fax Number	:	414-529-3962

Provider Business Practice Location Address
First Line	:	9700 W LOOMIS RD
Second Line	:
City	:	FRANKLIN
State	:	WI
Zip	:	53132-9701
Country	:	US
Telephone Number	:	414-529-3933
Fax Number	:	414-529-3962

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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