Provider Demographics
NPI:1962980425
Name:TOY, ERIK
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:TOY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W263N2020 FIELDHACK DR UNIT 202
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-5410
Mailing Address - Country:US
Mailing Address - Phone:262-894-1423
Mailing Address - Fax:
Practice Address - Street 1:N63W23524 SILVER SPRING DR
Practice Address - Street 2:
Practice Address - City:SUSSEX
Practice Address - State:WI
Practice Address - Zip Code:53089-3896
Practice Address - Country:US
Practice Address - Phone:262-246-6486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10019091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice