| Sparta Family Dentistry, Llc | |
|
311 Jefferson Ave Sparta WI 54656-2113 | |
| (608) 269-5008 | |
| (608) 269-5018 |
| Full Name | Sparta Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 311 Jefferson Ave, Sparta, Wisconsin |
| Authorized Official Name and Position | Alan Domeyer (PRESIDENT) |
| Authorized Official Contact | 7153022329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparta Family Dentistry, Llc 311 Jefferson Ave Sparta WI 54656-2113 Ph: (608) 269-5008 | Sparta Family Dentistry, Llc 311 Jefferson Ave Sparta WI 54656-2113 Ph: (608) 269-5008 |
| NPI Number | 1811354194 |
|---|---|
| Provider Enumeration Date | 01/18/2016 |
| Last Update Date | 01/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811354194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6541-15 (Wisconsin) | Primary |
Sparta Dental Center Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Riley Rd, Sparta, WI 54656 Phone: 608-269-5282 Fax: 608-269-6315 | |
Lopez Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1123 W Wisconsin St, Sparta, WI 54656 Phone: 608-269-8400 | |
Direct Denture Service Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Riley Rd, Sparta, WI 54656 Phone: 608-518-2859 Fax: 608-269-6315 | |
The Missing Tooth Solution Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Riley Rd, Suite A, Sparta, WI 54656 Phone: 608-269-0607 Fax: 608-269-0608 |