| Jeffrey S. Withuski & Paula Sabbe Dds | |
|
103 9th St N Ste 2 Wahpeton ND 58075-4343 | |
| (701) 642-8566 | |
| (701) 642-1111 |
| Full Name | Jeffrey S. Withuski & Paula Sabbe Dds |
|---|---|
| Speciality | Dentist |
| Location | 103 9th St N Ste 2, Wahpeton, North Dakota |
| Authorized Official Name and Position | Jeffrey S Withuski (OWNER) |
| Authorized Official Contact | 7016428566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey S. Withuski & Paula Sabbe Dds 103 9th St N Ste 2 Wahpeton ND 58075-4343 Ph: (701) 642-8566 | Jeffrey S. Withuski & Paula Sabbe Dds 103 9th St N Ste 2 Wahpeton ND 58075-4343 Ph: (701) 642-8566 |
| NPI Number | 1154585594 |
|---|---|
| Provider Enumeration Date | 07/15/2008 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154585594 | NPI | - | NPPES |
| 41107 | Medicaid | ND | |
| 1807 | Other | BCBS | |
| 984022200 | Other | ND | MINNESOTA MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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