| Dr Jordan Dietrich, DDS | |
|
825 W Fulton St, Waupaca, WI 54981-1471 | |
| (920) 731-7445 | |
| Not Available |
| Full Name | Dr Jordan Dietrich |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 825 W Fulton St, Waupaca, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902582604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6001224-15 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Dietrich, DDS 4818 Wood Duck Way, West Bend, WI 53095-9196 Ph: (920) 639-9529 | Dr Jordan Dietrich, DDS 825 W Fulton St, Waupaca, WI 54981-1471 Ph: (920) 731-7445 |
Dennis J Mackin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 701 Riverside Drive, Waupaca, WI 54981 Phone: 715-258-3311 Fax: 715-258-4104 | |
Dr. Gregory Peter Harvey, DDS Dentist Medicare: Medicare Enrolled Practice Location: 211 E. Badger St., Waupaca, WI 54981 Phone: 715-258-3838 | |
James Ross Robinson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 701 Riverside Drive, Waupaca, WI 54981 Phone: 715-258-3311 Fax: 715-258-4104 | |
E Res Pope, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 School St, Waupaca, WI 54981 Phone: 715-258-8200 Fax: 715-258-9002 | |
Christopher N Sands, DDS Dentist Medicare: Medicare Enrolled Practice Location: 701 Riverside Drive, Riverhill Dental Associates, Waupaca, WI 54981 Phone: 715-258-3311 Fax: 715-258-4104 | |
Dr. Stephen Joseph Saunders, DDS Dentist Medicare: Medicare Enrolled Practice Location: 210 W Badger St, Waupaca, WI 54981 Phone: 715-258-3035 | |
Dr. Nikita George Tongas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 825 W Fulton St, Waupaca, WI 54981 Phone: 920-731-7445 |