| Ideal Dental Inc. | |
|
1025 3rd Ave Woodruff WI 54568-9492 | |
| (715) 356-2777 | |
| Not Available |
| Full Name | Ideal Dental Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1025 3rd Ave, Woodruff, Wisconsin |
| Authorized Official Name and Position | Alexander Flora (OWNER) |
| Authorized Official Contact | 7153562777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Inc. 1025 3rd Ave Woodruff WI 54568-9492 Ph: () - | Ideal Dental Inc. 1025 3rd Ave Woodruff WI 54568-9492 Ph: (715) 356-2777 |
| NPI Number | 1366141822 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 02/28/2023 |
| Medicare PECOS PAC ID | 9537521547 |
|---|---|
| Medicare Enrollment ID | O20230808001901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366141822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Christine Liesen John J Pinzl Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Oak Street, Woodruff, WI 54568 Phone: 715-356-3474 Fax: 715-358-5145 | |
Northwoods Dentistry Woodruff Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Maple St, Woodruff, WI 54568 Phone: 715-356-6339 | |
Liesen Pinzl Kessinger Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Oak St, Woodruff, WI 54568 Phone: 715-356-3474 |