Dells Dental
Dentist, General Practice in Wisconsin Dells, WI. Organization (NPI-2).
NPI number1720153802
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1720153802
- Entity type
- Organization (NPI-2)
- Legal business name
- Dells Dental
- Organization subpart
- No
- Enumeration date
- Nov 22, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5198-015 | WI | Yes |
Practice location
245 W Munroe AveWisconsin Dells, WI 53965-9656
Phone 608-254-2345 · Fax 608-254-6460
Mailing address
245 W Munroe AveWisconsin Dells, WI 53965-9656
Phone 608-254-2345 · Fax 608-254-6460
Authorized official
David L Clemens
Co-Owner
6082542345
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Other General Practice Dentistry providers in Wisconsin Dells, WI
- David L. Clemens, DDSNPI 1710984745
- Jeremy William Gross, DDSNPI 1619932811
- Betsy Ann Long, D.D.S.NPI 1053520460
- Robert E Moss, DDSNPI 1366589665
- Patrick F Sweeney, DDSNPI 1053483214
All 6 General Practice Dentistry providers in Wisconsin Dells · All 87 providers in Wisconsin Dells
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