| Campbellsport Family Dentistry, Llc | |
|
130 N Fond Du Lac Ave Campbellsport WI 53010-2787 | |
| (920) 533-8512 | |
| Not Available |
| Full Name | Campbellsport Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 130 N Fond Du Lac Ave, Campbellsport, Wisconsin |
| Authorized Official Name and Position | Daniel Stevens (OWNER) |
| Authorized Official Contact | 6089574663 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbellsport Family Dentistry, Llc 130 N Fond Du Lac Ave Campbellsport WI 53010-2787 Ph: () - | Campbellsport Family Dentistry, Llc 130 N Fond Du Lac Ave Campbellsport WI 53010-2787 Ph: (920) 533-8512 |
| NPI Number | 1073368254 |
|---|---|
| Provider Enumeration Date | 04/20/2024 |
| Last Update Date | 04/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073368254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |