| Winneconne Family Dentistry Acquisition Llc | |
|
902 E Main St Winneconne WI 54986-9782 | |
| (920) 705-1123 | |
| Not Available |
| Full Name | Winneconne Family Dentistry Acquisition Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 902 E Main St, Winneconne, Wisconsin |
| Authorized Official Name and Position | Julie Vandehey (DENTIST) |
| Authorized Official Contact | 9202297092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winneconne Family Dentistry Acquisition Llc Po Box 520 Winneconne WI 54986-0520 Ph: () - | Winneconne Family Dentistry Acquisition Llc 902 E Main St Winneconne WI 54986-9782 Ph: (920) 705-1123 |
| NPI Number | 1093415283 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093415283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Upper Lakes Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 E Main St Ste C, Winneconne, WI 54986 Phone: 920-582-0688 | |
Winneconne Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 E Main St, Winneconne, WI 54986 Phone: 920-582-4427 Fax: 920-582-7563 |