| Northstar Dental Grp | |
|
5760 Grande Market Dr Appleton WI 54913 | |
| (920) 997-1557 | |
| (920) 997-0688 |
| Full Name | Northstar Dental Grp |
|---|---|
| Speciality | Dentist |
| Location | 5760 Grande Market Dr, Appleton, Wisconsin |
| Authorized Official Name and Position | Peter D Hehli (OWNER DENTIST) |
| Authorized Official Contact | 9209971557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northstar Dental Grp 5760 Grand Market Dr Appleton WI 54913 Ph: (920) 997-1557 | Northstar Dental Grp 5760 Grande Market Dr Appleton WI 54913 Ph: (920) 997-1557 |
| NPI Number | 1679553093 |
|---|---|
| Provider Enumeration Date | 01/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679553093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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