Campbellsport Family Dentistry, Llc | |
130 N Fond Du Lac Ave Campbellsport WI 53010-2787 | |
(920) 533-8512 | |
Not Available |
Full Name | Campbellsport Family Dentistry, Llc |
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Speciality | Clinic/center - Dental |
Location | 130 N Fond Du Lac Ave, Campbellsport, Wisconsin |
Authorized Official Name and Position | Daniel Stevens (OWNER) |
Authorized Official Contact | 6089574663 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Campbellsport Family Dentistry, Llc 130 N Fond Du Lac Ave Campbellsport WI 53010-2787 Ph: () - | Campbellsport Family Dentistry, Llc 130 N Fond Du Lac Ave Campbellsport WI 53010-2787 Ph: (920) 533-8512 |
NPI Number | 1073368254 |
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Provider Enumeration Date | 04/20/2024 |
Last Update Date | 04/20/2024 |
Identifier | Type | State | Issuer |
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1073368254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |