| Deerwood Orthodontics Appleton | |
|
3030 N Ballard Rd Appleton WI 54911-8707 | |
| (920) 954-9153 | |
| (920) 954-9080 |
| Full Name | Deerwood Orthodontics Appleton |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3030 N Ballard Rd, Appleton, Wisconsin |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deerwood Orthodontics Appleton 3030 N Ballard Rd Appleton WI 54911-8707 Ph: (920) 954-9153 | Deerwood Orthodontics Appleton 3030 N Ballard Rd Appleton WI 54911-8707 Ph: (920) 954-9153 |
| NPI Number | 1033249289 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 03/14/2022 |
| Certification Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033249289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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