| Children's Dental Clinic Of Green Bay, Llc | |
|
534 Redbird Cir De Pere WI 54115-8785 | |
| (920) 336-4002 | |
| Not Available |
| Full Name | Children's Dental Clinic Of Green Bay, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 534 Redbird Cir, De Pere, Wisconsin |
| Authorized Official Name and Position | Kaitlin Haws (INSURANCE COORDINATOR) |
| Authorized Official Contact | 9203364002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dental Clinic Of Green Bay, Llc 534 Redbird Cir De Pere WI 54115-8785 Ph: (920) 336-4002 | Children's Dental Clinic Of Green Bay, Llc 534 Redbird Cir De Pere WI 54115-8785 Ph: (920) 336-4002 |
| NPI Number | 1306543095 |
|---|---|
| Provider Enumeration Date | 02/13/2023 |
| Last Update Date | 02/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306543095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Healthy Teeth Green Bay Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2324 Old Plank Rd, De Pere, WI 54115 Phone: 623-434-9343 Fax: 623-321-6268 | |
Children's Dental Clinic Of Green Bay, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Redbird Cir, De Pere, WI 54115 Phone: 920-336-4002 Fax: 920-336-4112 | |
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