| J Dennis Connor Dds Sc | |
|
1204 Fond Du Lac Ave Kewaskum WI 53040-8954 | |
| (262) 626-2119 | |
| (262) 626-2110 |
| Full Name | J Dennis Connor Dds Sc |
|---|---|
| Speciality | Dentist |
| Location | 1204 Fond Du Lac Ave, Kewaskum, Wisconsin |
| Authorized Official Name and Position | James Dennis Connor (PRESIDENT) |
| Authorized Official Contact | 2626262119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Dennis Connor Dds Sc 1204 Fond Du Lac Ave Kewaskum WI 53040-8954 Ph: (262) 626-2119 | J Dennis Connor Dds Sc 1204 Fond Du Lac Ave Kewaskum WI 53040-8954 Ph: (262) 626-2119 |
| NPI Number | 1003941444 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003941444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5001200015 (Wisconsin) | Primary |
Stephen R. Van Ess, D.d.s., S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1053 Fond Du Lac Ave, Kewaskum, WI 53040 Phone: 262-626-8444 | |
Kewaskum Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 Fond Du Lac Ave, Kewaskum, WI 53040 Phone: 262-626-2119 |