| Bouressa Dental Associates, S.c. | |
|
1416 S Commercial St Neenah WI 54956-4664 | |
| (920) 725-3033 | |
| (920) 725-5098 |
| Full Name | Bouressa Dental Associates, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1416 S Commercial St, Neenah, Wisconsin |
| Authorized Official Name and Position | Michael J Bouressa (PRESIDENT) |
| Authorized Official Contact | 9207253033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bouressa Dental Associates, S.c. 1416 S Commercial St Neenah WI 54956-4664 Ph: (920) 725-3033 | Bouressa Dental Associates, S.c. 1416 S Commercial St Neenah WI 54956-4664 Ph: (920) 725-3033 |
| NPI Number | 1538189089 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538189089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5002124-015 (Wisconsin) | Primary |
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