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Dr. Fred A Lacourt, DDS
General Practice Dentistry in Wauwatosa, Wisconsin
NPI 1407925803

Fred A Lacourt is a General Practice Dentistry based in Wauwatosa, WI and is specialized in General Practice. Fred A Lacourt practices in Wauwatosa, WI and has the professional credentials of DDS. The NPI Number for Fred A Lacourt is 1407925803 and holds a License No. 3547WI (Wisconsin).

The current practice location address for Fred A Lacourt is 2505 N Mayfair Rd, Wauwatosa, WI and can be reached out via phone at 414-258-2117 and via fax at 414-258-4177.

Location: 2505 N Mayfair Rd, Wauwatosa, WI, 53226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407925803
Provider Name
Fred A Lacourt
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2505 N Mayfair Rd, Wauwatosa, WI, 53226
Phone Number
414-258-2117
Fax Number
414-258-4177
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
690859 01 UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
2505 N Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226
Phone Number
414-258-2117
Fax Number
414-258-4177
person
Provider Business Mailing Address Details
Address
2505 N Mayfair Rd
City
Wauwatosa
State
Wisconsin
Zip
53226
Phone Number
414-258-2117
Fax Number
414-258-4177
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3547WI (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.
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