| Echo Ridge Dental Clinic | |
|
2140 S. Ridge Rd. Green Bay WI 54304 | |
| (920) 494-7464 | |
| (920) 494-7919 |
| Full Name | Echo Ridge Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2140 S. Ridge Rd., Green Bay, Wisconsin |
| Authorized Official Name and Position | Raymond L Schneider (OWNER-DENTIST) |
| Authorized Official Contact | 92049474646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Echo Ridge Dental Clinic 2140 S. Ridge Rd. Green Bay WI 54304 Ph: (920) 494-7464 | Echo Ridge Dental Clinic 2140 S. Ridge Rd. Green Bay WI 54304 Ph: (920) 494-7464 |
| NPI Number | 1063622645 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063622645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Wisconsin) | Primary |
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