| Southport Periodontics | |
|
5021 Washington Rd Kenosha WI 53144 | |
| (262) 654-6770 | |
| (262) 654-6727 |
| Full Name | Southport Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 5021 Washington Rd, Kenosha, Wisconsin |
| Authorized Official Name and Position | Patricia Jenkins (MANAGER) |
| Authorized Official Contact | 2626546770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southport Periodontics 5021 Washington Rd Kenosha WI 53144-4292 Ph: (262) 654-6770 | Southport Periodontics 5021 Washington Rd Kenosha WI 53144 Ph: (262) 654-6770 |
| NPI Number | 1679064901 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 05/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679064901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
Riley & Armstrong D.d.s., S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7910 39th Ave, Kenosha, WI 53142 Phone: 262-694-7672 Fax: 262-694-7110 | |
Dentacare Kenosha Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6521 Green Bay Rd, Kenosha, WI 53142 Phone: 414-306-6420 Fax: 877-335-3684 | |
Frantal Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7601 Pershing Blvd, Kenosha, WI 53142 Phone: 262-694-1100 Fax: 262-694-1103 | |
Gregory A. Santarelli Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5017 Green Bay Rd Ste 138, Kenosha, WI 53144 Phone: 262-654-6770 Fax: 262-654-6727 | |
Dental Care Of Kenosha Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Washington Rd, Kenosha, WI 53144 Phone: 262-237-6238 | |
Bruce F Andrekus, Dds,sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3726 Roosevelt Rd, Kenosha, WI 53142 Phone: 262-652-7956 | |
Familia Dental Kenosha Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6430 Green Bay Rd., Ste. 112, Kenosha, WI 53142 Phone: 262-653-3980 Fax: 262-455-7710 |