| Prescott Family Dental | |
|
1015 Campbell St N Prescott WI 54021-1157 | |
| (715) 262-3382 | |
| (715) 262-3063 |
| Full Name | Prescott Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1015 Campbell St N, Prescott, Wisconsin |
| Authorized Official Name and Position | Cassie Lynn Erickson (OFFICE MANAGER) |
| Authorized Official Contact | 7152623382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Family Dental 1015 Campbell St N Prescott WI 54021-1157 Ph: (715) 262-3382 | Prescott Family Dental 1015 Campbell St N Prescott WI 54021-1157 Ph: (715) 262-3382 |
| NPI Number | 1093113789 |
|---|---|
| Provider Enumeration Date | 12/11/2014 |
| Last Update Date | 03/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093113789 | NPI | - | NPPES |
| 100024073 | Medicaid | WI | |
| 33478900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3523 (Wisconsin) | Secondary |
| 1223G0001X | Dentist - General Practice | 6932 (Wisconsin) | Primary |
Scenic Bluffs Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1435 N. Acres Rd. Suite 102, Prescott, WI 54021 Phone: 715-953-0499 |