| Birch Point Dental | |
|
3661 N Highland Drive Radisson WI 54867 | |
| (715) 945-2901 | |
| (715) 945-2805 |
| Full Name | Birch Point Dental |
|---|---|
| Speciality | Dentist |
| Location | 3661 N Highland Drive, Radisson, Wisconsin |
| Authorized Official Name and Position | Eugene Donald Roush (DENTISIT/PRESIDENT) |
| Authorized Official Contact | 7159452901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birch Point Dental Po Box 8 Radisson WI 54867-0008 Ph: (715) 945-2901 | Birch Point Dental 3661 N Highland Drive Radisson WI 54867 Ph: (715) 945-2901 |
| NPI Number | 1477885101 |
|---|---|
| Provider Enumeration Date | 02/05/2010 |
| Last Update Date | 02/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477885101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2853 (Wisconsin) | Primary |
| 122300000X | Dentist | 5072 (Wisconsin) | Secondary |