Organization
GENERATIONS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED A LACOURT DDS (DENTIST)
(414) 258-2117
Entity
Organization
Contact information
Practice address
2505 N MAYFAIR RD, #103, WAUWATOSA, WI 53226
(414) 258-2117
(414) 258-4177
Mailing address
2505 N MAYFAIR RD, #103, WAUWATOSA, WI 53226
(414) 258-2117
(414) 258-4177
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3547WI
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
690859
UNITED CONCORDIA
—
01
—
98924
UNITED CONCORDIA
—
Enumeration date
11/07/2006
Last updated
06/22/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us