| Ebben & Pynenberg Dds Sc | |
|
607 Wilson St Little Chute WI 54140 | |
| (920) 788-3542 | |
| (920) 788-6741 |
| Full Name | Ebben & Pynenberg Dds Sc |
|---|---|
| Speciality | Dentist |
| Location | 607 Wilson St, Little Chute, Wisconsin |
| Authorized Official Name and Position | Michael Charles Ebben (PRESIDENT) |
| Authorized Official Contact | 9207883542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebben & Pynenberg Dds Sc 607 Wilson St Little Chute WI 54140 Ph: (920) 788-3542 | Ebben & Pynenberg Dds Sc 607 Wilson St Little Chute WI 54140 Ph: (920) 788-3542 |
| NPI Number | 1164550208 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164550208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2739 (Wisconsin) | Primary |
| 122300000X | Dentist | 4142 (Wisconsin) | Secondary |
Riverside Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1805 E Main St, Little Chute, WI 54140 Phone: 303-994-1456 | |
Elite Smiles Little Chute, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 E Main St, Little Chute, WI 54140 Phone: 920-735-9366 |