| Advanced Dental Specialists, Llc | |
|
2476 N Oneida St Ste 150 Appleton WI 54911 | |
| (920) 954-8085 | |
| (920) 954-9080 |
| Full Name | Advanced Dental Specialists, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2476 N Oneida St Ste 150, Appleton, Wisconsin |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Specialists, Llc 2476 N Oneida St Ste 150 Appleton WI 54911 Ph: (920) 954-8085 | Advanced Dental Specialists, Llc 2476 N Oneida St Ste 150 Appleton WI 54911 Ph: (920) 954-8085 |
| NPI Number | 1578213484 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578213484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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