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General NPI Number Information
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NPI Number | 1023140118
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Entity Type | Organization
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Legal Business Name | RUSSELL D DUNKEL & THOMAS KRAKLOW, DDS, INC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4154 S 108TH ST
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City | GREENFIELD
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State | WI
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Zip | 53228-1906
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Country | US
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Telephone | 414-427-8565
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Fax | 414-427-8590
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Provider Business Mailing Address
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Address Line | 4154 S 108TH ST
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City | GREENFIELD
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State | WI
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Zip | 53228-1906
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Country | US
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Telephone | 414-427-8565
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Fax | 414-427-8590
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. PAMELA DUNKEL
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Credential |
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Telephone | 414-427-8565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2913
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3931
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 5001194
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License Number State | WI
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