| Aspen Dental | |
|
2860 S Green Bay Rd Suite 104 Mount Pleasant WI 53406-4962 | |
| (262) 886-9700 | |
| (262) 554-1629 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2860 S Green Bay Rd, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Kim Van Camp (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (866) 273-8204 | Aspen Dental 2860 S Green Bay Rd Suite 104 Mount Pleasant WI 53406-4962 Ph: (262) 886-9700 |
| NPI Number | 1518367598 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 08/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518367598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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