| Advanced Family Dental, Llc | |
|
1260 Plainview Rd Plain WI 53577-9790 | |
| (608) 546-4441 | |
| (608) 546-4442 |
| Full Name | Advanced Family Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1260 Plainview Rd, Plain, Wisconsin |
| Authorized Official Name and Position | Michelle Anliker (OWNER) |
| Authorized Official Contact | 6085464441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Dental, Llc Po Box 211 Plain WI 53577-0211 Ph: (608) 546-4441 | Advanced Family Dental, Llc 1260 Plainview Rd Plain WI 53577-9790 Ph: (608) 546-4441 |
| NPI Number | 1659887057 |
|---|---|
| Provider Enumeration Date | 12/20/2017 |
| Last Update Date | 12/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659887057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1001471-15 (Wisconsin) | Primary |