Deerwood Orthodontics, LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Janesville, WI. Organization (NPI-2).
NPI number1376673533
StatusActive
Last updated in NPPESMar 14, 2022
Details
- NPI
- 1376673533
- Entity type
- Organization (NPI-2)
- Legal business name
- Deerwood Orthodontics, LLC
- Organization subpart
- Yes
- Enumeration date
- Mar 6, 2007
- Certification date
- Mar 14, 2022
- Last updated
- Mar 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Other names
- Deerwood Orthodontics Janesville (Doing Business As)
Practice location
1407 N Wright RdJanesville, WI 53546-1314
Phone 608-756-2736 · Fax 608-755-1796
Mailing address
1407 N Wright RdJanesville, WI 53546-1314
Phone 608-756-2736 · Fax 608-755-1796
Authorized official
Celia Hayes
Credentialing Coordinator
2175402100
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