| Johnson Creek Dental | |
|
540 Village Walk Lane Suite E Johnson Creek WI 53038 | |
| (920) 699-2554 | |
| (920) 699-3059 |
| Full Name | Johnson Creek Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 540 Village Walk Lane, Johnson Creek, Wisconsin |
| Authorized Official Name and Position | Johathon J Melk (DENTIST) |
| Authorized Official Contact | 9206902554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson Creek Dental 540 Village Walk Lane Suite E Johnson Creek WI 53038 Ph: (920) 699-2554 | Johnson Creek Dental 540 Village Walk Lane Suite E Johnson Creek WI 53038 Ph: (920) 699-2554 |
| NPI Number | 1225124571 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225124571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Bubon & Associates, Orthodontics, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 Village Walk Ln, Johnson Creek, WI 53038 Phone: 262-522-7447 Fax: 262-522-7448 |