| Russell D Dunkel & Thomas Kraklow, Dds, Inc | |
|
4154 S 108th St Greenfield WI 53228-1906 | |
| (414) 427-8565 | |
| (414) 427-8590 |
| Full Name | Russell D Dunkel & Thomas Kraklow, Dds, Inc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 4154 S 108th St, Greenfield, Wisconsin |
| Authorized Official Name and Position | Pamela Dunkel (BUSINESS MANAGER) |
| Authorized Official Contact | 4144278565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell D Dunkel & Thomas Kraklow, Dds, Inc 4154 S 108th St Greenfield WI 53228-1906 Ph: (414) 427-8565 | Russell D Dunkel & Thomas Kraklow, Dds, Inc 4154 S 108th St Greenfield WI 53228-1906 Ph: (414) 427-8565 |
| NPI Number | 1023140118 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023140118 | NPI | - | NPPES |
| 1487768578 | Other | WI | NPI |
| 1225054265 | Other | WI | NPI |
| 1811001902 | Other | WI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2913 (Wisconsin) | Secondary |
| 122300000X | Dentist | 3931 (Wisconsin) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 5001194 (Wisconsin) | Primary |
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