| Paul Joseph Congdon, DDS | |
|
1102 Beall St, Hudson, WI 54016-2060 | |
| (715) 386-3675 | |
| (715) 386-0985 |
| Full Name | Paul Joseph Congdon |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1102 Beall St, Hudson, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457474306 | NPI | - | NPPES |
| 33463900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3247-015 (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 |
|---|---|
| Paul Joseph Congdon, DDS 1102 Beall St, Hudson, WI 54016-2060 Ph: (715) 386-3675 | Paul Joseph Congdon, DDS 1102 Beall St, Hudson, WI 54016-2060 Ph: (715) 386-3675 |
Patrick Lee Wolfe, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 900 Crestview Dr, Suite 240, Hudson, WI 54016 Phone: 715-381-5556 |
Dr. Gregory James Martens, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1003 Pearson Dr, Hudson, WI 54016 Phone: 715-377-9966 Fax: 715-377-9933 |
Nicole Haus, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 593 Lenertz Rd, Hudson, WI 54016 Phone: 715-386-5400 |
Fariba Kianmajd, Dentist Medicare: Not Enrolled in Medicare Practice Location: 709 Rodeo Dr Ste 114, Hudson, WI 54016 Phone: 716-386-3675 |
Dr. Kenneth R Brisson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 821 Coulee Rd, Hudson, WI 54016 Phone: 715-386-3548 Fax: 715-386-3634 |
Paul Lawton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1810 Crest View Dr, Suite 5a, Hudson, WI 54016 Phone: 715-386-3727 Fax: 715-386-4029 |
Dr. Benjamin John Fravel, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1200 Crestview Dr, Suite 3, Hudson, WI 54016 Phone: 715-386-8070 Fax: 715-386-8958 |