| Luck Dental Clinic, Inc. | |
|
308 N 1st St Luck WI 54853-9087 | |
| (715) 472-2211 | |
| Not Available |
| Full Name | Luck Dental Clinic, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 308 N 1st St, Luck, Wisconsin |
| Authorized Official Name and Position | Dann R Rowe (OWNER) |
| Authorized Official Contact | 7154722211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luck Dental Clinic, Inc. 308 N 1st St Po Box 550 Luck WI 54853-9087 Ph: (715) 472-2211 | Luck Dental Clinic, Inc. 308 N 1st St Luck WI 54853-9087 Ph: (715) 472-2211 |
| NPI Number | 1235392390 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235392390 | NPI | - | NPPES |
| 33571700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001223 (Wisconsin) | Primary |