| Prairie Run Dental S.c. | |
|
1807 Prairie Drive Marshfield WI 54449 | |
| (715) 387-1724 | |
| (715) 384-5310 |
| Full Name | Prairie Run Dental S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1807 Prairie Drive, Marshfield, Wisconsin |
| Authorized Official Name and Position | Jaime L Seehafer (ACCOUNTS MANAGER) |
| Authorized Official Contact | 7153871724 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Run Dental S.c. 1807 Prairie Drive Marshfield WI 54449 Ph: (715) 387-1724 | Prairie Run Dental S.c. 1807 Prairie Drive Marshfield WI 54449 Ph: (715) 387-1724 |
| NPI Number | 1588878482 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588878482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5247015 (Wisconsin) | Primary |
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