| Dental Expressions Sc | |
|
N3946 Columbia Ave Freedom WI 54130-7552 | |
| (920) 788-6280 | |
| Not Available |
| Full Name | Dental Expressions Sc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | N3946 Columbia Ave, Freedom, Wisconsin |
| Authorized Official Name and Position | Robert Heil (PRESIDENT) |
| Authorized Official Contact | 9204285416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Expressions Sc 623 E Tallgrass Dr Appleton WI 54913-7505 Ph: (920) 428-5416 | Dental Expressions Sc N3946 Columbia Ave Freedom WI 54130-7552 Ph: (920) 788-6280 |
| NPI Number | 1588081210 |
|---|---|
| Provider Enumeration Date | 03/19/2014 |
| Last Update Date | 01/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588081210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5139-15 (Wisconsin) | Primary |