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Dr. Macy Ruth Anderson, DDS
General Practice Dentistry in Glendale, Wisconsin
NPI 1124641303

Macy Ruth Anderson is a General Practice Dentistry based in Glendale, WI and is specialized in General Practice. Macy Ruth Anderson practices in Glendale, WI and has the professional credentials of DDS. The NPI Number for Macy Ruth Anderson is 1124641303 and holds a License No. (Wisconsin).

The current practice location address for Macy Ruth Anderson is 5150 N Port Washington Rd Ste 201, Glendale, WI and can be reached out via phone at 414-964-8850.

Location: 5150 N Port Washington Rd Ste 201, Glendale, WI, 53217-5400
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124641303
Provider Name
Macy Ruth Anderson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
5150 N Port Washington Rd Ste 201, Glendale, WI, 53217-5400
Phone Number
414-964-8850
Fax Number
Provider Enumeration Date
05/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5150 N Port Washington Rd Ste 201
City
Glendale
State
Wisconsin
Zip
53217-5400
Phone Number
414-964-8850
Fax Number
person
Provider Business Mailing Address Details
Address
5150 N Port Washington Rd Ste 201
City
Glendale
State
Wisconsin
Zip
53217-5400
Phone Number
414-964-8850
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1002304 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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