Richard Labinski
Individual provider Active NPI Dentist · Dousman, WI
NPI 1861636508 · NPPES record last updated Apr 24, 2009
Key facts
- NPI
- 1861636508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5000057-015 (WI)
- Practice address
- S46W34030 Billings CT
Dousman, WI 53118-9746 - Phone
- (262) 392-2982
- NPI assigned
- Apr 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5000057-015 | WI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5000057-015 | WI | Yes |
Addresses
Primary practice location
S46W34030 Billings CT
Dousman, WI 53118-9746
Mailing address
S46W34030 Billings CT
Dousman, WI 53118-9746
Phone (262) 392-2982
Other providers in Dousman, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.