| Dr Stephen Reisner Dentistry Sc | |
|
120 1st St S Ladysmith WI 54848-1801 | |
| (715) 532-5606 | |
| Not Available |
| Full Name | Dr Stephen Reisner Dentistry Sc |
|---|---|
| Speciality | Dentist |
| Location | 120 1st St S, Ladysmith, Wisconsin |
| Authorized Official Name and Position | Stephen D Reisner (OWNER) |
| Authorized Official Contact | 7155325606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Reisner Dentistry Sc 120 First St So Ladysmith WI 54848 Ph: (715) 532-5606 | Dr Stephen Reisner Dentistry Sc 120 1st St S Ladysmith WI 54848-1801 Ph: (715) 532-5606 |
| NPI Number | 1811064231 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 01/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811064231 | NPI | - | NPPES |
| 33489100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0003677 (Wisconsin) | Primary |