| Aspen Dental | |
|
3131 Milton Ave Ste 190 Janesville WI 53545-0244 | |
| (608) 302-4444 | |
| (608) 754-4436 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3131 Milton Ave Ste 190, Janesville, Wisconsin |
| Authorized Official Name and Position | Kim Van Camp (PROVIDER RELATIONS SPECIALIST) |
| Authorized Official Contact | 3154646000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (866) 273-8204 | Aspen Dental 3131 Milton Ave Ste 190 Janesville WI 53545-0244 Ph: (608) 302-4444 |
| NPI Number | 1740679448 |
|---|---|
| Provider Enumeration Date | 01/19/2015 |
| Last Update Date | 01/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740679448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5001352 (Wisconsin) | Primary |
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