| Smiles In Motion | |
|
583 Lakeland Dr Chippewa Falls WI 54729-1689 | |
| (715) 723-2000 | |
| (715) 723-3712 |
| Full Name | Smiles In Motion |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 583 Lakeland Dr, Chippewa Falls, Wisconsin |
| Authorized Official Name and Position | Jeanette Marie Goodlet (OFFICE MANAGER) |
| Authorized Official Contact | 7157232000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles In Motion 583 Lakeland Dr Chippewa Falls WI 54729-1689 Ph: () - | Smiles In Motion 583 Lakeland Dr Chippewa Falls WI 54729-1689 Ph: (715) 723-2000 |
| NPI Number | 1972863397 |
|---|---|
| Provider Enumeration Date | 05/18/2012 |
| Last Update Date | 12/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972863397 | NPI | - | NPPES |
| 33796700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5855-015 (Wisconsin) | Primary |
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