| Deerwood Orthodontics, Llc | |
|
2476 S Oneida St Ste 150 Green Bay WI 54304-5292 | |
| (920) 593-9390 | |
| (920) 593-9398 |
| Full Name | Deerwood Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2476 S Oneida St Ste 150, Green Bay, Wisconsin |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deerwood Orthodontics, Llc 2476 S Oneida St Ste 150 Green Bay WI 54304-5292 Ph: (920) 593-9390 | Deerwood Orthodontics, Llc 2476 S Oneida St Ste 150 Green Bay WI 54304-5292 Ph: (920) 593-9390 |
| NPI Number | 1689324493 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689324493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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