| Mccormick Family Dental Care Sc | |
|
5610 Medical Circle Ste 10 Madison WI 53719 | |
| (608) 233-5351 | |
| (608) 238-6777 |
| Full Name | Mccormick Family Dental Care Sc |
|---|---|
| Speciality | Dentist |
| Location | 5610 Medical Circle, Madison, Wisconsin |
| Authorized Official Name and Position | Stuart J Mccormick (OWNER) |
| Authorized Official Contact | 6082335351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccormick Family Dental Care Sc 5610 Medical Circle Ste 10 Madison WI 53719 Ph: (608) 233-5351 | Mccormick Family Dental Care Sc 5610 Medical Circle Ste 10 Madison WI 53719 Ph: (608) 233-5351 |
| NPI Number | 1063420040 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063420040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3143 (Wisconsin) | Primary |
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