| Mennonite Dental Clinic | |
|
W8180 County Road X Thorp WI 54771-7512 | |
| (715) 669-3790 | |
| Not Available |
| Full Name | Mennonite Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | W8180 County Road X, Thorp, Wisconsin |
| Authorized Official Name and Position | Irvin Shirk (MANAGER) |
| Authorized Official Contact | 7156693790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mennonite Dental Clinic W8180 County Road X Thorp WI 54771-7512 Ph: () - | Mennonite Dental Clinic W8180 County Road X Thorp WI 54771-7512 Ph: (715) 669-3790 |
| NPI Number | 1790045904 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790045904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Dhcsc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 W Prospect St, Thorp, WI 54771 Phone: 715-669-5620 |