| Familia Dental Kenosha Llc | |
|
6430 Green Bay Rd. Ste. 112 Kenosha WI 53142-2948 | |
| (262) 653-3980 | |
| (262) 455-7710 |
| Full Name | Familia Dental Kenosha Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6430 Green Bay Rd., Kenosha, Wisconsin |
| Authorized Official Name and Position | Brandon Alexander Taylor (CREDENTIALING & PAYER RELATIONS MAN) |
| Authorized Official Contact | 8474537396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familia Dental Kenosha Llc 2050 East Algonquin Road Suite 610 Schaumburg IL 60173-4166 Ph: (847) 453-7396 | Familia Dental Kenosha Llc 6430 Green Bay Rd. Ste. 112 Kenosha WI 53142-2948 Ph: (262) 653-3980 |
| NPI Number | 1154782209 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154782209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Riley & Armstrong D.d.s., S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7910 39th Ave, Kenosha, WI 53142 Phone: 262-694-7672 Fax: 262-694-7110 | |
Dentacare Kenosha Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6521 Green Bay Rd, Kenosha, WI 53142 Phone: 414-306-6420 Fax: 877-335-3684 | |
Frantal Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7601 Pershing Blvd, Kenosha, WI 53142 Phone: 262-694-1100 Fax: 262-694-1103 | |
Gregory A. Santarelli Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5017 Green Bay Rd Ste 138, Kenosha, WI 53144 Phone: 262-654-6770 Fax: 262-654-6727 | |
Dental Care Of Kenosha Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Washington Rd, Kenosha, WI 53144 Phone: 262-237-6238 | |
Bruce F Andrekus, Dds,sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3726 Roosevelt Rd, Kenosha, WI 53142 Phone: 262-652-7956 |