| Sensational Smiles Orthodontics Llc | |
|
106 Watson St Ripon WI 54971-1327 | |
| (920) 748-7200 | |
| Not Available |
| Full Name | Sensational Smiles Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 106 Watson St, Ripon, Wisconsin |
| Authorized Official Name and Position | Christopher G Johnson (OWNER/DDS) |
| Authorized Official Contact | 9207487200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sensational Smiles Orthodontics Llc Po Box 419 Ripon WI 54971 Ph: (920) 748-7200 | Sensational Smiles Orthodontics Llc 106 Watson St Ripon WI 54971-1327 Ph: (920) 748-7200 |
| NPI Number | 1518538891 |
|---|---|
| Provider Enumeration Date | 07/07/2021 |
| Last Update Date | 07/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518538891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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