| Proven Dental Llc | |
|
1700 Coral Dr Waukesha WI 53186-1483 | |
| (262) 650-3000 | |
| (262) 650-3103 |
| Full Name | Proven Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1700 Coral Dr, Waukesha, Wisconsin |
| Authorized Official Name and Position | James Francis Murphy (OWNER/DENTIST) |
| Authorized Official Contact | 2626503000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proven Dental Llc 1700 Coral Dr Waukesha WI 53186-1483 Ph: (262) 650-3000 | Proven Dental Llc 1700 Coral Dr Waukesha WI 53186-1483 Ph: (262) 650-3000 |
| NPI Number | 1477952687 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 02/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477952687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4761-15 (Wisconsin) | Primary |
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