Bloy Family Dentistry Llc | |
W213n16755 Glen Brooke Dr Jackson WI 53037-9489 | |
(262) 677-4990 | |
Not Available |
Full Name | Bloy Family Dentistry Llc |
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Speciality | Dentist |
Location | W213n16755 Glen Brooke Dr, Jackson, Wisconsin |
Authorized Official Name and Position | Mitch Weiland (SENIOR ACCOUNTANT) |
Authorized Official Contact | 6083430818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bloy Family Dentistry Llc W213n16755 Glen Brooke Dr Jackson WI 53037-9489 Ph: (262) 677-4990 | Bloy Family Dentistry Llc W213n16755 Glen Brooke Dr Jackson WI 53037-9489 Ph: (262) 677-4990 |
NPI Number | 1396342291 |
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Provider Enumeration Date | 10/04/2020 |
Last Update Date | 10/04/2020 |
Identifier | Type | State | Issuer |
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1396342291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Jackson Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N168w20060 Main St, Jackson, WI 53037 Phone: 262-677-3003 Fax: 262-677-1641 | |
Jackson Town & Country Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N168 W20566 Main St, Jackson, WI 53037 Phone: 262-444-0600 |