Organization
PAUL R SOMMERS DDS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL RICHARD SOMMERS DDS (PRESIDENT)
(920) 261-5110
Entity
Organization
Contact information
Practice address
121 OAKRIDGE COURT, WATERTOWN, WI 53094
(920) 261-5110
(920) 261-5735
Mailing address
121 OAKRIDGE COURT, WATERTOWN, WI 53094
(920) 261-5110
(920) 261-5735
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2297
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33386400
MEDICAL ASSISTANCE BADGER
—
Enumeration date
12/05/2006
Last updated
08/22/2020
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