| Eagleview Dental Office | |
|
476 Water St Prairie Du Sac WI 53578-1127 | |
| (608) 643-3855 | |
| (608) 643-6295 |
| Full Name | Eagleview Dental Office |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 476 Water St, Prairie Du Sac, Wisconsin |
| Authorized Official Name and Position | William W. Knickmeyer (PARTNER) |
| Authorized Official Contact | 6086433855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagleview Dental Office Po Box 126 476 Water St. Prairie Du Sac WI 53578-0126 Ph: (608) 643-3855 | Eagleview Dental Office 476 Water St Prairie Du Sac WI 53578-1127 Ph: (608) 643-3855 |
| NPI Number | 1669549044 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669549044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5002061-015 (Wisconsin) | Primary |
Village Family Dental Assocs. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Prairie St, Prairie Du Sac, WI 53578 Phone: 608-643-8505 Fax: 608-643-8097 | |
St. Vincent De Paul Of Sauk Prairie/ Roxbury, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1906 North St, Prairie Du Sac, WI 53578 Phone: 608-643-8905 |