| Campfire Pediatric Dentistry, Llc | |
|
8391 Greenway Blvd Ste 100 Middleton WI 53562-3544 | |
| (815) 979-3837 | |
| Not Available |
| Full Name | Campfire Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8391 Greenway Blvd Ste 100, Middleton, Wisconsin |
| Authorized Official Name and Position | Nathanael D Benassi (MEMBER) |
| Authorized Official Contact | 6085359382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campfire Pediatric Dentistry, Llc 8391 Greenway Blvd Ste 100 Middleton WI 53562-3544 Ph: (608) 535-9382 | Campfire Pediatric Dentistry, Llc 8391 Greenway Blvd Ste 100 Middleton WI 53562-3544 Ph: (815) 979-3837 |
| NPI Number | 1881364958 |
|---|---|
| Provider Enumeration Date | 09/20/2021 |
| Last Update Date | 04/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881364958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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