| Drs. Anderson & Durtsche, Ltd. | |
|
615 10th St S La Crosse WI 54601-4768 | |
| (608) 784-7319 | |
| (608) 784-4384 |
| Full Name | Drs. Anderson & Durtsche, Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 615 10th St S, La Crosse, Wisconsin |
| Authorized Official Name and Position | Timothy Brekke Durtsche (PRESIDENT) |
| Authorized Official Contact | 6087847319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Anderson & Durtsche, Ltd. 615 10th St S La Crosse WI 54601-4768 Ph: (608) 784-7319 | Drs. Anderson & Durtsche, Ltd. 615 10th St S La Crosse WI 54601-4768 Ph: (608) 784-7319 |
| NPI Number | 1932151685 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1355352691 |
|---|---|
| Medicare Enrollment ID | O20060525000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932151685 | NPI | - | NPPES |
| 38365100 (BILLING #) | Medicaid | WI | |
| 33388200(PERFORMING) | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2244 (Wisconsin) | Primary |
| Provider Name | David P Ludington |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1770570624 PECOS PAC ID: 6305811696 Enrollment ID: I20040901000163 |
| Provider Name | Leslee C Timm |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386782324 PECOS PAC ID: 7810099207 Enrollment ID: I20070305000334 |
| Provider Name | Charles R Polzin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1144546805 PECOS PAC ID: 1355579335 Enrollment ID: I20140708000517 |
| Provider Name | Adam Sorenson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1528550746 PECOS PAC ID: 2466708979 Enrollment ID: I20220901002780 |
Great River Orthodontic Specialists, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Main St, La Crosse, WI 54601 Phone: 608-782-6778 | |
Driftless Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3143 State Rd Ste 200, La Crosse, WI 54601 Phone: 608-787-1700 | |
Gl La Crosse Dental Clinic Dental Clinic Medicare: Medicare Enrolled Practice Location: 201 3rd St N, La Crosse, WI 54601 Phone: 608-782-7300 | |
Smile Care Center Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 7th St S, La Crosse, WI 54601 Phone: 608-782-2812 | |
Western Wisconsin Oral Health Initiative Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Badger St, Health Science Center, La Crosse, WI 54601 Phone: 608-789-6101 | |
John H Betz Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 10th St S, La Crosse, WI 54601 Phone: 608-782-4054 Fax: 608-782-4054 | |
La Crosse Community Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Badger St, La Crosse, WI 54601 Phone: 608-782-2840 |