| Between The Lakes Sleep And Airway Center Llc | |
|
1250 Teckla Pl Kiel WI 53042-9623 | |
| (920) 894-2305 | |
| Not Available |
| Full Name | Between The Lakes Sleep And Airway Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 1250 Teckla Pl, Kiel, Wisconsin |
| Authorized Official Name and Position | Constance Annie Wallander (DENTIST) |
| Authorized Official Contact | 9207403427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Between The Lakes Sleep And Airway Center Llc 961 River Meadow Dr Kiel WI 53042-4851 Ph: (920) 740-3427 | Between The Lakes Sleep And Airway Center Llc 1250 Teckla Pl Kiel WI 53042-9623 Ph: (920) 894-2305 |
| NPI Number | 1720777519 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 06/25/2023 |
| Medicare PECOS PAC ID | 2365890001 |
|---|---|
| Medicare Enrollment ID | O20231120000145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720777519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
New Holstein Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Teckla Pl, Kiel, WI 53042 Phone: 920-898-4110 | |
Kiel Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 Fremont St, Kiel, WI 53042 Phone: 920-898-2305 Fax: 920-894-3048 | |
Schubert Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 W Park Ave, Kiel, WI 53042 Phone: 920-960-5212 |