| Jackson Town & Country Dental Llc | |
|
N168 W20566 Main St Jackson WI 53037 | |
| (262) 444-0600 | |
| Not Available |
| Full Name | Jackson Town & Country Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | N168 W20566 Main St, Jackson, Wisconsin |
| Authorized Official Name and Position | Mitch Weiland (SENIOR ACCOUNTANT) |
| Authorized Official Contact | 6083430818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Town & Country Dental Llc N168 W20566 Main St Jackson WI 53037 Ph: (262) 444-0600 | Jackson Town & Country Dental Llc N168 W20566 Main St Jackson WI 53037 Ph: (262) 444-0600 |
| NPI Number | 1790399780 |
|---|---|
| Provider Enumeration Date | 09/07/2020 |
| Last Update Date | 09/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790399780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Jackson Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N168w20060 Main St, Jackson, WI 53037 Phone: 262-677-3003 Fax: 262-677-1641 | |
Bloy Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: W213n16755 Glen Brooke Dr, Jackson, WI 53037 Phone: 262-677-4990 |