| Wales Family Dental | |
|
300 E Summit Ave Suite C Wales WI 53183-9664 | |
| (262) 347-4084 | |
| Not Available |
| Full Name | Wales Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 300 E Summit Ave, Wales, Wisconsin |
| Authorized Official Name and Position | Kathryn C Connor (PRESIDENT) |
| Authorized Official Contact | 6148930424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wales Family Dental 482 E Welsh Rd Wales WI 53183-9744 Ph: (614) 893-0424 | Wales Family Dental 300 E Summit Ave Suite C Wales WI 53183-9664 Ph: (262) 347-4084 |
| NPI Number | 1295273050 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 02/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295273050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6798-15 (Wisconsin) | Primary |
Jack Hoeffleur Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 N Wales Rd, Wales, WI 53183 Phone: 262-968-9191 |