Provider Demographics
NPI:1306141114
Name:TAUSCHEK, JAMES CARL (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CARL
Last Name:TAUSCHEK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7579 PIONEER PL
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:WI
Mailing Address - Zip Code:53593-9670
Mailing Address - Country:US
Mailing Address - Phone:608-833-8539
Mailing Address - Fax:608-833-8539
Practice Address - Street 1:6627 MCKEE RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-5023
Practice Address - Country:US
Practice Address - Phone:608-848-5680
Practice Address - Fax:608-848-5681
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3998122300000X
OH30018639122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist