| Dental Haven For Children Sc | |
|
2612 E Calumet St Appleton WI 54915-4104 | |
| (920) 739-6808 | |
| (888) 492-5007 |
| Full Name | Dental Haven For Children Sc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2612 E Calumet St, Appleton, Wisconsin |
| Authorized Official Name and Position | Gonzalo E Hernandez (PRESIDENT) |
| Authorized Official Contact | 9207396808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Haven For Children Sc 2612 E Calumet St Appleton WI 54915-4104 Ph: (920) 739-6808 | Dental Haven For Children Sc 2612 E Calumet St Appleton WI 54915-4104 Ph: (920) 739-6808 |
| NPI Number | 1598105637 |
|---|---|
| Provider Enumeration Date | 07/03/2013 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598105637 | NPI | - | NPPES |
| 33718600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4564-015 (Wisconsin) | Primary |
Christopher J. Glapa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: W3132 Van Roy Rd, Unit 2, Appleton, WI 54915 Phone: 920-734-7345 Fax: 920-734-0850 | |
Appleton Westhill Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 828 N Westhill Blvd, Appleton, WI 54914 Phone: 920-733-2445 | |
Deerwood Orthodontics Appleton Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3030 N Ballard Rd, Appleton, WI 54911 Phone: 920-954-9153 Fax: 920-954-9080 | |
Advanced Care Smile Center Of Appleton Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 N Richmond St, Appleton, WI 54911 Phone: 920-730-0400 | |
Lmg Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: W3134 Van Roy Rd, Appleton, WI 54915 Phone: 920-882-1710 Fax: 920-882-1708 | |
Mdc Appleton S Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 S Oneida St, Appleton, WI 54915 Phone: 920-734-2392 | |
Fox Run Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 E Franklin St, Appleton, WI 54911 Phone: 920-235-3251 Fax: 920-235-3567 |