| Mercy Dental Evansville Llc | |
|
109 S Madison St Evansville WI 53536-1319 | |
| (608) 882-4441 | |
| Not Available |
| Full Name | Mercy Dental Evansville Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 109 S Madison St, Evansville, Wisconsin |
| Authorized Official Name and Position | Marcie Rauls (COO) |
| Authorized Official Contact | 6084389058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Dental Evansville Llc 109 S Madison St Evansville WI 53536-1319 Ph: (608) 882-4441 | Mercy Dental Evansville Llc 109 S Madison St Evansville WI 53536-1319 Ph: (608) 882-4441 |
| NPI Number | 1467269753 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467269753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
The Grove Family Dental And Tmj Clinic, Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 109 S Madison St, Evansville, WI 53536 Phone: 608-882-4441 |