Doctor Name: | STEVEN R CHYBOWSKI |
NPI Number: | 1063418416 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | 4919 |
Business Practice Address: | 8375 S Howell Ave #201 Oak Creek, WI - 531548344 |
Business Phone Number: | 4147681020 |
Business Fax Number: | 4147688866 |
Mailing Address: | 8375 S Howell Ave, #201 OAK CREEK |
State: | WI |
Postal Code: | 531548344 |
Phone Number: | 4147681020 |
Fax Number: | 4147688866 |
NPI Enumeration Date: | 06/21/2005 |
NPI Last Update Date: | 03/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 4919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |