| Jeffrey W Orear Dds Sc | |
|
110 N Ogden Rd Peshtigo WI 54157-1730 | |
| (715) 582-4571 | |
| (715) 582-4986 |
| Full Name | Jeffrey W Orear Dds Sc |
|---|---|
| Speciality | Dentist |
| Location | 110 N Ogden Rd, Peshtigo, Wisconsin |
| Authorized Official Name and Position | Jeffrey Wayne Orear (DENTIST OWNER) |
| Authorized Official Contact | 7155824571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey W Orear Dds Sc 110 N Ogden Rd Peshtigo WI 54157-1730 Ph: (715) 582-4571 | Jeffrey W Orear Dds Sc 110 N Ogden Rd Peshtigo WI 54157-1730 Ph: (715) 582-4571 |
| NPI Number | 1255464467 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255464467 | NPI | - | NPPES |
| 33448700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0003061 (Wisconsin) | Primary |
Brian M Thielen Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Ogden Rd, Peshtigo, WI 54157 Phone: 715-582-4571 Fax: 715-582-4986 | |
David R. Brostowitz, Dds, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 W Front St, Peshtigo, WI 54157 Phone: 715-582-3601 |