|
| |
|
6025 N Green Bay Ave Glendale WI 53209-3811 | |
| (414) 797-0328 | |
| (414) 355-0242 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6025 N Green Bay Ave, Glendale, Wisconsin |
| Authorized Official Name and Position | Nathan Knutsen (OWNER) |
| Authorized Official Contact | 4147970328 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6025 N Green Bay Ave Glendale WI 53209-3811 Ph: (414) 797-0328 | 6025 N Green Bay Ave Glendale WI 53209-3811 Ph: (414) 797-0328 |
| NPI Number | 1942995667 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942995667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Bruce Holmstrom D.d.s.,sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5150 N Port Washington Rd, Suite 201, Glendale, WI 53217 Phone: 414-964-8850 Fax: 414-964-8918 | |
Glendale Optimal Dental Care, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6191 N Green Bay Ave, Glendale, WI 53209 Phone: 414-404-6464 Fax: 414-404-6499 | |
Christopher P. Mcaboy Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 377 W River Woods Pkwy # 120, Glendale, WI 53212 Phone: 414-906-8940 | |
Restoration Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6373 N Jean Nicolet Rd Ste 202, Glendale, WI 53217 Phone: 414-228-9680 | |
Advanced Dental Specialists, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 W Silver Spring Dr Ste K250, Glendale, WI 53217 Phone: 414-529-5330 Fax: 414-529-9552 |