| Glendale Dental Llc | |
|
5150 N Port Washington Rd Ste 201 Glendale WI 53217-5400 | |
| (414) 964-8850 | |
| (414) 964-8918 |
| Full Name | Glendale Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5150 N Port Washington Rd Ste 201, Glendale, Wisconsin |
| Authorized Official Name and Position | Christopher Potrykus (OWNER) |
| Authorized Official Contact | 2626462771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Dental Llc 920 Indian Spring Dr Delafield WI 53018-2242 Ph: (262) 873-0510 | Glendale Dental Llc 5150 N Port Washington Rd Ste 201 Glendale WI 53217-5400 Ph: (414) 964-8850 |
| NPI Number | 1710478557 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 05/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710478557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6886 (Wisconsin) | Primary |
Bruce Holmstrom D.d.s.,sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5150 N Port Washington Rd, Suite 201, Glendale, WI 53217 Phone: 414-964-8850 Fax: 414-964-8918 | |
Forwarddental Glendale Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7040 N Port Washington Rd Ste 414, Glendale, WI 53217 Phone: 920-212-4641 Fax: 920-954-9080 | |
Dental Care Alliance Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7155 N Port Washington Rd, Glendale, WI 53217 Phone: 414-352-1600 | |
Christopher P. Mcaboy Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 377 W River Woods Pkwy # 120, Glendale, WI 53212 Phone: 414-906-8940 | |
Restoration Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6373 N Jean Nicolet Rd Ste 202, Glendale, WI 53217 Phone: 414-228-9680 | |
Advanced Dental Specialists, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Silver Spring Dr Ste K250, Glendale, WI 53217 Phone: 414-529-5330 Fax: 414-529-9552 | |
Deerwood Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Silver Spring Dr Ste K230, Glendale, WI 53217 Phone: 414-332-4900 Fax: 414-332-4949 |