| Advanced Family Dentistry, S.c. | |
|
123 Hospital Dr Suite 201 Watertown WI 53098-3331 | |
| (920) 261-0588 | |
| (920) 261-0640 |
| Full Name | Advanced Family Dentistry, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 123 Hospital Dr, Watertown, Wisconsin |
| Authorized Official Name and Position | Karen Sherry (FINANCIAL COORDINATOR) |
| Authorized Official Contact | 9202610588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Dentistry, S.c. 123 Hospital Dr Suite 201 Watertown WI 53098-3331 Ph: (920) 261-0588 | Advanced Family Dentistry, S.c. 123 Hospital Dr Suite 201 Watertown WI 53098-3331 Ph: (920) 261-0588 |
| NPI Number | 1861628133 |
|---|---|
| Provider Enumeration Date | 06/01/2009 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861628133 | NPI | - | NPPES |
| 33741400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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