| Village Family Dental Asscociates | |
|
1209 Mills St Black Earth WI 53515-9420 | |
| (608) 767-3604 | |
| (608) 767-3606 |
| Full Name | Village Family Dental Asscociates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1209 Mills St, Black Earth, Wisconsin |
| Authorized Official Name and Position | Michael F Peeples (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 6086438505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Family Dental Asscociates 1209 Mills St Black Earth WI 53515-9420 Ph: (608) 767-3604 | Village Family Dental Asscociates 1209 Mills St Black Earth WI 53515-9420 Ph: (608) 767-3604 |
| NPI Number | 1174500813 |
|---|---|
| Provider Enumeration Date | 12/23/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174500813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |