| Thomas H Reitz Dds Sc | |
|
1007 N Main St Edgerton WI 53534 | |
| (608) 884-3358 | |
| (608) 884-4917 |
| Full Name | Thomas H Reitz Dds Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1007 N Main St, Edgerton, Wisconsin |
| Authorized Official Name and Position | Debra J Reitz (VICE PRESIDENT) |
| Authorized Official Contact | 6088843358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas H Reitz Dds Sc 1007 N Main St Edgerton WI 53534 Ph: (608) 884-3358 | Thomas H Reitz Dds Sc 1007 N Main St Edgerton WI 53534 Ph: (608) 884-3358 |
| NPI Number | 1841301181 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841301181 | NPI | - | NPPES |
| 33683700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3953 015 (Wisconsin) | Primary |