| Jackson Family Dentistry Llc | |
|
N168w20060 Main St Jackson WI 53037-9382 | |
| (262) 677-3003 | |
| (262) 677-1641 |
| Full Name | Jackson Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | N168w20060 Main St, Jackson, Wisconsin |
| Authorized Official Name and Position | Scott William Charmoli (OWNER) |
| Authorized Official Contact | 2626773003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Family Dentistry Llc N168w20060 Main St Jackson WI 53037-9382 Ph: (262) 677-3003 | Jackson Family Dentistry Llc N168w20060 Main St Jackson WI 53037-9382 Ph: (262) 677-3003 |
| NPI Number | 1114317815 |
|---|---|
| Provider Enumeration Date | 02/02/2015 |
| Last Update Date | 02/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114317815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3671-15 (Wisconsin) | Primary |
Bloy Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: W213n16755 Glen Brooke Dr, Jackson, WI 53037 Phone: 262-677-4990 | |
Jackson Town & Country Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N168 W20566 Main St, Jackson, WI 53037 Phone: 262-444-0600 |