| Fox River Dental Associates Sc | |
|
120 Commercial St Berlin WI 54923-1737 | |
| (920) 361-3080 | |
| (920) 361-3083 |
| Full Name | Fox River Dental Associates Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 Commercial St, Berlin, Wisconsin |
| Authorized Official Name and Position | Sharon Mattice (OFFICE MANAGER) |
| Authorized Official Contact | 9203613080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox River Dental Associates Sc Po Box 45 Berlin WI 54923-0045 Ph: (920) 361-3080 | Fox River Dental Associates Sc 120 Commercial St Berlin WI 54923-1737 Ph: (920) 361-3080 |
| NPI Number | 1629124375 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 03/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629124375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5000722015 (Wisconsin) | Primary |
Waushara Dental Associate Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 Broadway, Berlin, WI 54923 Phone: 920-361-3800 |