| Martin Tettey, DMD | |
|
238 Front St, Cashton, WI 54619-2002 | |
| (608) 654-5100 | |
| Not Available |
| Full Name | Martin Tettey |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 238 Front St, Cashton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487383386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6001004 (Wisconsin) | Primary |
| Entity Name | St. Croix Tribal Council |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831170091 PECOS PAC ID: 1153369350 Enrollment ID: O20050419000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Tettey, DMD Po Box 39, Cashton, WI 54619-0039 Ph: (608) 654-5100 | Martin Tettey, DMD 238 Front St, Cashton, WI 54619-2002 Ph: (608) 654-5100 |
Dr. Aaron Youn, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 | |
Dr. William Gale Blocki, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 | |
Anna Bonvallet, DDS Dentist Medicare: Medicare Enrolled Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 | |
Terri Mroch, RDH Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 | |
Hana Advincula Del Pilar, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 | |
John Mears, Dentist Medicare: Medicare Enrolled Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 |