| Forwarddental Rivercenter | |
|
1575 N Rivercenter Dr Ste 200 Milwaukee WI 53212-3965 | |
| (414) 276-5453 | |
| (414) 276-1715 |
| Full Name | Forwarddental Rivercenter |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1575 N Rivercenter Dr Ste 200, Milwaukee, 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 |
|---|---|
| Forwarddental Rivercenter 1575 N Rivercenter Dr Ste 200 Milwaukee WI 53212-3965 Ph: (414) 276-5453 | Forwarddental Rivercenter 1575 N Rivercenter Dr Ste 200 Milwaukee WI 53212-3965 Ph: (414) 276-5453 |
| NPI Number | 1043340417 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 04/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043340417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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