| Isthmus Dental, Ltd | |
|
122 E Johnson St Madison WI 53703-2120 | |
| (608) 257-0116 | |
| Not Available |
| Full Name | Isthmus Dental, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 122 E Johnson St, Madison, Wisconsin |
| Authorized Official Name and Position | Julie Thies (BUSINESS MANAGER) |
| Authorized Official Contact | 6082570116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Isthmus Dental, Ltd 122 E Johnson St Madison WI 53703-2120 Ph: (608) 257-0116 | Isthmus Dental, Ltd 122 E Johnson St Madison WI 53703-2120 Ph: (608) 257-0116 |
| NPI Number | 1609944644 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609944644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2469 (Wisconsin) | Secondary |
| 122300000X | Dentist | 5551 (Wisconsin) | Primary |
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