| Cesa #11 Rural Health Dental Clinic | |
|
3375 Kothlow Ave. Suite 40 Menomonie WI 54751 | |
| (715) 235-1573 | |
| (715) 235-2081 |
| Full Name | Cesa #11 Rural Health Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3375 Kothlow Ave., Menomonie, Wisconsin |
| Authorized Official Name and Position | Sharon Haugerud (DIRECTOR) |
| Authorized Official Contact | 7159862020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cesa #11 Rural Health Dental Clinic 225 Ostermann Dr Turtle Lake WI 54889-9191 Ph: (715) 986-2020 | Cesa #11 Rural Health Dental Clinic 3375 Kothlow Ave. Suite 40 Menomonie WI 54751 Ph: (715) 235-1573 |
| NPI Number | 1730390840 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730390840 | NPI | - | NPPES |
| 38389000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Wisconsin) | Primary |
Cedar Creek Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Schneider Ave Se, Suite 1, Menomonie, WI 54751 Phone: 715-233-1400 | |
Gentle Dental Care Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 Wilson St, Menomonie, WI 54751 Phone: 715-235-7566 Fax: 715-235-7578 | |
Leipnitz Dental Clinic, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2521 Broadway St S, Menomonie, WI 54751 Phone: 715-235-7371 Fax: 715-235-7380 | |
Gentle Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 Wilson St., Menomonie, WI 54751 Phone: 715-235-7566 Fax: 715-235-7578 | |
Red Cedar Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Hils Ct, Menomonie, WI 54751 Phone: 715-309-2999 Fax: 715-309-2983 | |
Menomonie Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1603 Stout Rd, Menomonie, WI 54751 Phone: 715-235-6858 |