| Access Dental Care Clinic Pc | |
|
405 E 19th St Cheyenne WI 82001 | |
| (307) 632-6665 | |
| (307) 637-6733 |
| Full Name | Access Dental Care Clinic Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 405 E 19th St, Cheyenne, Wisconsin |
| Authorized Official Name and Position | John B Luddington (DENTIST) |
| Authorized Official Contact | 3076326665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Dental Care Clinic Pc 405 E 19th St Cheyenne WI 82001 Ph: (307) 632-6665 | Access Dental Care Clinic Pc 405 E 19th St Cheyenne WI 82001 Ph: (307) 632-6665 |
| NPI Number | 1386856227 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386856227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 939 (Wyoming) | Primary |