| Center For Dentistry And Orthodontics | |
|
5625 Woodland St Stevens Point WI 54481-8637 | |
| (715) 341-8335 | |
| (715) 343-0977 |
| Full Name | Center For Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5625 Woodland St, Stevens Point, Wisconsin |
| Authorized Official Name and Position | Gerald S. Walczak (DENTISTRY) |
| Authorized Official Contact | 7153418335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Dentistry And Orthodontics 292 Maple Bluff Rd Stevens Point WI 54481-9267 Ph: (715) 345-2168 | Center For Dentistry And Orthodontics 5625 Woodland St Stevens Point WI 54481-8637 Ph: (715) 341-8335 |
| NPI Number | 1699985754 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699985754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3383 (Wisconsin) | Primary |
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