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1851 County Road Xx Mosinee WI 54455-7933 | |
| (715) 359-0550 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 1851 County Road Xx, Mosinee, Wisconsin |
| Authorized Official Name and Position | David P Barr (PRESIDENT) |
| Authorized Official Contact | 7153590550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1851 County Road Xx Mosinee WI 54455-7933 Ph: (715) 359-0550 | 1851 County Road Xx Mosinee WI 54455-7933 Ph: (715) 359-0550 |
| NPI Number | 1447279625 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 01/16/2017 |
| Medicare PECOS PAC ID | 5698057370 |
|---|---|
| Medicare Enrollment ID | O20170113001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447279625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0003272015 (Wisconsin) | Primary |
| Provider Name | Ross A Dreger |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1043239130 PECOS PAC ID: 7214064229 Enrollment ID: I20100423000050 |
| Provider Name | Anthony T Nation |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1043694268 PECOS PAC ID: 8729369848 Enrollment ID: I20170908000039 |
| Provider Name | Jacob D Martin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1700578697 PECOS PAC ID: 1850832007 Enrollment ID: I20240916002201 |
Mosinee Smiles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1103 Pine St, Mosinee, WI 54455 Phone: 715-693-3255 | |
Smiles On Main, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 Main St, Mosinee, WI 54455 Phone: 715-693-2503 | |
Mosinee Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 435 Orbiting Dr Ste A, Mosinee, WI 54455 Phone: 715-693-4530 |