| Fall Creek Family Dental, Llc | |
|
122 S State St Fall Creek WI 54742-9701 | |
| (715) 877-2113 | |
| Not Available |
| Full Name | Fall Creek Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 122 S State St, Fall Creek, Wisconsin |
| Authorized Official Name and Position | Genie Kuble (NPI AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9204500157 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fall Creek Family Dental, Llc 122 S State St Fall Creek WI 54742-9701 Ph: () - | Fall Creek Family Dental, Llc 122 S State St Fall Creek WI 54742-9701 Ph: (715) 877-2113 |
| NPI Number | 1861256620 |
|---|---|
| Provider Enumeration Date | 02/12/2024 |
| Last Update Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861256620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Fall Creek Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 State St, Fall Creek, WI 54742 Phone: 715-877-2113 Fax: 715-877-3495 |