| Stephen R. Van Ess, D.d.s., S.c. | |
|
1053 Fond Du Lac Ave Kewaskum WI 53040-9495 | |
| (262) 626-8444 | |
| Not Available |
| Full Name | Stephen R. Van Ess, D.d.s., S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1053 Fond Du Lac Ave, Kewaskum, Wisconsin |
| Authorized Official Name and Position | Stephen Reynolds Van Ess (PRESIDENT) |
| Authorized Official Contact | 2626268444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen R. Van Ess, D.d.s., S.c. 1053 Fond Du Lac Ave P.o. Box 559 Kewaskum WI 53040-9495 Ph: (262) 626-8444 | Stephen R. Van Ess, D.d.s., S.c. 1053 Fond Du Lac Ave Kewaskum WI 53040-9495 Ph: (262) 626-8444 |
| NPI Number | 1083746242 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083746242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 02775 (Wisconsin) | Primary |
J Dennis Connor Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 Fond Du Lac Ave, Kewaskum, WI 53040 Phone: 262-626-2119 Fax: 262-626-2110 | |
Kewaskum Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 Fond Du Lac Ave, Kewaskum, WI 53040 Phone: 262-626-2119 |