| Great Lakes Oral & Maxillofacial Surgery, P.a. | |
|
1200 Crest View Dr Ste 1 Hudson WI 54016-9391 | |
| (715) 381-7070 | |
| (715) 381-0383 |
| Full Name | Great Lakes Oral & Maxillofacial Surgery, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1200 Crest View Dr Ste 1, Hudson, Wisconsin |
| Authorized Official Name and Position | Richard William Brunton (PRESIDENT) |
| Authorized Official Contact | 6513511010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Lakes Oral & Maxillofacial Surgery, P.a. 1200 Crest View Dr Ste 1 Hudson WI 54016-9391 Ph: (715) 381-7070 | Great Lakes Oral & Maxillofacial Surgery, P.a. 1200 Crest View Dr Ste 1 Hudson WI 54016-9391 Ph: (715) 381-7070 |
| NPI Number | 1902116288 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 10/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902116288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4482 (Wisconsin) | Primary |
Park Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1003 Pearson Dr, Hudson, WI 54016 Phone: 715-377-9966 Fax: 715-377-9933 | |
Sletten & Brettin Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 2nd St S, Suite 230, Hudson, WI 54016 Phone: 715-377-2155 Fax: 715-377-2157 | |
River Heights Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Crestview Dr, Suite3, Hudson, WI 54016 Phone: 715-386-8070 Fax: 715-386-8958 | |
Shane Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Walnut St Unit A, Hudson, WI 54016 Phone: 715-386-2133 | |
Orthodontic Care Specialists Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2215 Vine St, Hudson, WI 54016 Phone: 715-381-1110 | |
Zachary C Walgenbach Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 2nd St Ste 1, Hudson, WI 54016 Phone: 715-386-2515 | |
La Petite Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 Carmichael Rd Ste 200, Hudson, WI 54016 Phone: 855-527-3848 Fax: 855-457-3329 |