| Fitchburg Dental Clinic, S.c. | |
|
3070 Fish Hatchery Rd Fitchburg WI 53713-3187 | |
| (608) 274-6232 | |
| (608) 274-9444 |
| Full Name | Fitchburg Dental Clinic, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3070 Fish Hatchery Rd, Fitchburg, Wisconsin |
| Authorized Official Name and Position | Michael Joseph Reese (PRESIDENT) |
| Authorized Official Contact | 6082746232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fitchburg Dental Clinic, S.c. 3070 Fish Hatchery Rd Fitchburg WI 53713-3187 Ph: (608) 274-6232 | Fitchburg Dental Clinic, S.c. 3070 Fish Hatchery Rd Fitchburg WI 53713-3187 Ph: (608) 274-6232 |
| NPI Number | 1114083342 |
|---|---|
| Provider Enumeration Date | 12/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114083342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001328-015 (Wisconsin) | Primary |
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