| Lakeshore Family Dental Center Fox Point Llc | |
|
6878 N Santa Monica Blvd Fox Point WI 53217-3965 | |
| (414) 247-1990 | |
| Not Available |
| Full Name | Lakeshore Family Dental Center Fox Point Llc |
|---|---|
| Speciality | Dentist |
| Location | 6878 N Santa Monica Blvd, Fox Point, Wisconsin |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Family Dental Center Fox Point Llc 6878 N Santa Monica Blvd Fox Point WI 53217-3965 Ph: (414) 247-1990 | Lakeshore Family Dental Center Fox Point Llc 6878 N Santa Monica Blvd Fox Point WI 53217-3965 Ph: (414) 247-1990 |
| NPI Number | 1902689185 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902689185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Roaring Smiles Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 W Brown Deer Rd Ste A, Fox Point, WI 53217 Phone: 858-222-7276 |