| Neighborhood Smiles Of West Salem, Llc | |
|
1403 Waterloo Ave West Salem WI 54669-9270 | |
| (608) 519-4385 | |
| Not Available |
| Full Name | Neighborhood Smiles Of West Salem, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1403 Waterloo Ave, West Salem, Wisconsin |
| Authorized Official Name and Position | Jackie Lucht (OPERATION MANAGER) |
| Authorized Official Contact | 7158423933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neighborhood Smiles Of West Salem, Llc 301 N 17th Ave Ste 200 Wausau WI 54401-4225 Ph: (608) 519-4385 | Neighborhood Smiles Of West Salem, Llc 1403 Waterloo Ave West Salem WI 54669-9270 Ph: (608) 519-4385 |
| NPI Number | 1659863199 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659863199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
James P Allen, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 860 Mill St N Ste 1, West Salem, WI 54669 Phone: 608-786-3303 | |
Neighborhood Smiles Of West Salem Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 Waterloo Ave., West Salem, WI 54669 Phone: 608-768-0909 | |
Charles W Flume Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 Waterloo Ave, West Salem, WI 54669 Phone: 608-786-0909 Fax: 608-788-0767 | |
Family Dentistry Of West Salem, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Leonard St, West Salem, WI 54669 Phone: 608-786-1632 Fax: 608-786-0225 |