Generations Family Dental is a Dental Clinic in Wauwatosa, Wisconsin. It is located at 2505 N Mayfair Rd, #103, Wauwatosa, WI and its contact number is 414-258-2117. The authorized person for Generations Family Dental is Dr. Fred A Lacourt
who is Dentist of the clinic and their contact number is 414-258-2117. The primary license number for Generations Family Dental is 3547WI (General Practice) in Wisconsin. Generations Family Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Generations Family Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Generations Family Dental
Specialization:
General Practice Dentistry
Clinic Address:
2505 N Mayfair Rd, #103, Wauwatosa, Wisconsin, 53226
Phone:
414-258-2117
Fax:
414-258-4177
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Fred A Lacourt
Position:
Dentist
Contact Number:
414-258-2117
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Generations Family Dental clinic are as mentioned below.
NPI Number:
1184793580
NPI Enumeration Date:
07 Nov, 2006
NPI Last Update On:
22 Jun, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Generations Family Dental are as mentioned below.
Specialization
License Number
State
Status
General Practice
3547WI
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
690859
Other
United Concordia
98924
Other
United Concordia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Generations Family Dental 2505 N Mayfair Rd, #103 Wauwatosa, Wisconsin
Zip:
53226
Phone Number:
414-258-2117
Fax Number:
414-258-4177
Patients can reach Generations Family Dental at 2505 N Mayfair Rd, #103, Wauwatosa, Wisconsin or can call to book an appointment on 414-258-2117. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.