| Baggott Dental, Llc | |
|
3365 S. 103rd St. Ste 220 Milwaukee WI 53227 | |
| (414) 543-9911 | |
| (414) 543-9911 |
| Full Name | Baggott Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 3365 S. 103rd St., Milwaukee, Wisconsin |
| Authorized Official Name and Position | Timothy Charles Baggott (OWNER DENTIST) |
| Authorized Official Contact | 2624901232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baggott Dental, Llc 3365 S. 103rd St. Ste 220 Milwaukee WI 53227 Ph: (414) 543-9911 | Baggott Dental, Llc 3365 S. 103rd St. Ste 220 Milwaukee WI 53227 Ph: (414) 543-9911 |
| NPI Number | 1164103750 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164103750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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