| Purdy Family Dentistry | |
|
1730 8th Avenue Baldwin WI 54002 | |
| (715) 688-3110 | |
| Not Available |
| Full Name | Purdy Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1730 8th Avenue, Baldwin, Wisconsin |
| Authorized Official Name and Position | James Purdy (DENTIST) |
| Authorized Official Contact | 7153819785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purdy Family Dentistry 1730 8th Avenue Baldwin WI 54002 Ph: (715) 688-3110 | Purdy Family Dentistry 1730 8th Avenue Baldwin WI 54002 Ph: (715) 688-3110 |
| NPI Number | 1902108814 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902108814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5625 (Wisconsin) | Primary |
Douglas D Podoll Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 10th Ave, Baldwin, WI 54002 Phone: 715-684-5858 Fax: 715-684-5968 | |
Kristo Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 10th Ave, Baldwin, WI 54002 Phone: 715-684-5858 |