| Grand Avenue Dental Care, Llc | |
|
1163 Grand Ave Hartford WI 53027-2458 | |
| (262) 673-7826 | |
| Not Available |
| Full Name | Grand Avenue Dental Care, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1163 Grand Ave, Hartford, Wisconsin |
| Authorized Official Name and Position | Leah Nicole Clancy (OWNER) |
| Authorized Official Contact | 7087385438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Avenue Dental Care, Llc 2505 N 84th St Wauwatosa WI 53226-1905 Ph: (708) 738-5438 | Grand Avenue Dental Care, Llc 1163 Grand Ave Hartford WI 53027-2458 Ph: (262) 673-7826 |
| NPI Number | 1255102323 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255102323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Peter F Wilk D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1163 Grand Ave, Hartford, WI 53027 Phone: 262-673-7826 | |
Tooth Or Gum Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 784 South Main St, Hartford, WI 53027 Phone: 262-673-2288 Fax: 262-673-6244 | |
Hartford Family Dental Care, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Liberty Ave, Hartford, WI 53027 Phone: 262-673-2960 | |
The Hartford Dental Group, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 E Sumner St, Hartford, WI 53027 Phone: 262-673-3303 Fax: 262-673-9115 |