| Spring City Family Dental, Llc | |
|
707 W Moreland Blvd Waukesha WI 53188-2400 | |
| (262) 548-9600 | |
| Not Available |
| Full Name | Spring City Family Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 707 W Moreland Blvd, Waukesha, Wisconsin |
| Authorized Official Name and Position | Derek T. Schmidt (OWNER) |
| Authorized Official Contact | 2625489600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring City Family Dental, Llc 707 W Moreland Blvd Waukesha WI 53188-2400 Ph: (262) 548-9600 | Spring City Family Dental, Llc 707 W Moreland Blvd Waukesha WI 53188-2400 Ph: (262) 548-9600 |
| NPI Number | 1154700706 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154700706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1000978-15 (Wisconsin) | Primary |
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