| Greenbranch Dental L.l.c | |
|
501 Granite St Hurley WI 54534-1372 | |
| (715) 561-2386 | |
| (715) 561-2011 |
| Full Name | Greenbranch Dental L.l.c |
|---|---|
| Speciality | Dentist |
| Location | 501 Granite St, Hurley, Wisconsin |
| Authorized Official Name and Position | Jeffrey Michael Nehring (CO-OWNER AND PRESIDENT) |
| Authorized Official Contact | 7154763432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbranch Dental L.l.c Po Box 146 Mercer WI 54547-0146 Ph: (715) 476-3432 | Greenbranch Dental L.l.c 501 Granite St Hurley WI 54534-1372 Ph: (715) 561-2386 |
| NPI Number | 1437552940 |
|---|---|
| Provider Enumeration Date | 09/29/2014 |
| Last Update Date | 09/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437552940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6052 (Wisconsin) | Primary |
| 122300000X | Dentist | 2279 (Wisconsin) | Secondary |