| Advanced Dental Specialists, Llc | |
| 
					1734 Thierer Rd Madison WI 53704-3718  | |
| (608) 244-6888 | |
| Not Available | 
| Full Name | Advanced Dental Specialists, Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 1734 Thierer Rd, Madison, Wisconsin | 
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) | 
| Authorized Official Contact | 2175402100 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Advanced Dental Specialists, Llc 1734 Thierer Rd Madison WI 53704-3718 Ph: (608) 244-6888  | Advanced Dental Specialists, Llc 1734 Thierer Rd Madison WI 53704-3718 Ph: (608) 244-6888  | 
| NPI Number | 1023766920 | 
|---|---|
| Provider Enumeration Date | 03/10/2022 | 
| Last Update Date | 03/10/2022 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023766920 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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