| St. Croix Dental Health, Llc | |
|
26425 Lakeland Ave S Webster WI 54893-8343 | |
| (715) 866-4420 | |
| (715) 866-4368 |
| Full Name | St. Croix Dental Health, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 26425 Lakeland Ave S, Webster, Wisconsin |
| Authorized Official Name and Position | Tanya Mortel (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7154830429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Croix Dental Health, Llc 235 E State St Saint Croix Falls WI 54024-4117 Ph: (715) 483-3261 | St. Croix Dental Health, Llc 26425 Lakeland Ave S Webster WI 54893-8343 Ph: (715) 866-4420 |
| NPI Number | 1164996997 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 11/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164996997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
St. Croix Tribal Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4404 State Road 70, Webster, WI 54893 Phone: 715-349-8554 | |
Benjamin Mckinley Dds, Llc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 26425 Lakeland Ave S, Webster, WI 54893 Phone: 715-866-4420 Fax: 715-866-4368 | |
Gary Kaefer Family Dentisty Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7425 Main St W, Webster, WI 54893 Phone: 715-866-4204 Fax: 715-866-4205 |