| Spring Valley Dentistry Inc. | |
|
W124 S 2nd St Spring Valley WI 54767 | |
| (715) 778-5543 | |
| Not Available |
| Full Name | Spring Valley Dentistry Inc. |
|---|---|
| Speciality | Dentist |
| Location | W124 S 2nd St, Spring Valley, Wisconsin |
| Authorized Official Name and Position | Daniel Connors (OWNER/DENTIST) |
| Authorized Official Contact | 7157785543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Valley Dentistry Inc. Po Box 190 Spring Valley WI 54767 Ph: (715) 778-5543 | Spring Valley Dentistry Inc. W124 S 2nd St Spring Valley WI 54767 Ph: (715) 778-5543 |
| NPI Number | 1902333941 |
|---|---|
| Provider Enumeration Date | 05/22/2017 |
| Last Update Date | 05/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902333941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5206-015 (Wisconsin) | Secondary |
| 122300000X | Dentist | 6014-015 (Wisconsin) | Primary |