| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 300 9th Ave W, Ashland, Wisconsin |
| Authorized Official Name and Position | Carl Adam Hambuch (PRESIDENT) |
| Authorized Official Contact | 7156822733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
300 9th Ave W Ashland WI 54806 Ph: (715) 682-2733 | 300 9th Ave W Ashland WI 54806 Ph: (715) 682-2733 |
| NPI Number | 1295743193 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295743193 | NPI | - | NPPES |
| 33366500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1779G (Wisconsin) | Primary |
Bay Dental Associates Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Lake Shore Dr W, Ashland, WI 54806 Phone: 715-682-6675 Fax: 715-682-6747 | |
Lakeview Dental Center, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Lake Shore Dr W, Ashland, WI 54806 Phone: 715-682-2811 | |