| Advanced Dental Specialists, Llc | |
|
6218 Washington Ave Ste C Mount Pleasant WI 53406-3916 | |
| (262) 465-4232 | |
| (262) 465-4562 |
| Full Name | Advanced Dental Specialists, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6218 Washington Ave Ste C, Mount Pleasant, 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 6218 Washington Ave Ste C Mount Pleasant WI 53406-3916 Ph: (262) 465-4232 | Advanced Dental Specialists, Llc 6218 Washington Ave Ste C Mount Pleasant WI 53406-3916 Ph: (262) 465-4232 |
| NPI Number | 1417605312 |
|---|---|
| Provider Enumeration Date | 03/10/2022 |
| Last Update Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417605312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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