| Karen M. Boettcher, D.d.s.,s.c. | |
|
N63 W23401 Main St Sussex WI 53089-0229 | |
| (262) 246-6806 | |
| (262) 246-6892 |
| Full Name | Karen M. Boettcher, D.d.s.,s.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | N63 W23401 Main St, Sussex, Wisconsin |
| Authorized Official Name and Position | Karen M Boettcher (PRESIDENT) |
| Authorized Official Contact | 2622466806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen M. Boettcher, D.d.s.,s.c. P O Box 229 Sussex WI 53089-0229 Ph: (262) 246-6806 | Karen M. Boettcher, D.d.s.,s.c. N63 W23401 Main St Sussex WI 53089-0229 Ph: (262) 246-6806 |
| NPI Number | 1023197910 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023197910 | NPI | - | NPPES |
| 35913 | Other | AETNA | |
| 1455326 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4623 (Wisconsin) | Primary |
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