| Charles C. Loberg D.d.s.,s.c. | |
|
201 Wisconsin St New London WI 54961-1171 | |
| (920) 982-5181 | |
| (920) 982-1098 |
| Full Name | Charles C. Loberg D.d.s.,s.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 201 Wisconsin St, New London, Wisconsin |
| Authorized Official Name and Position | Charles Clayton Loberg (PRESIDENT) |
| Authorized Official Contact | 9209825181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles C. Loberg D.d.s.,s.c. 201 Wisconsin St New London WI 54961-1171 Ph: (920) 982-5181 | Charles C. Loberg D.d.s.,s.c. 201 Wisconsin St New London WI 54961-1171 Ph: (920) 982-5181 |
| NPI Number | 1922130160 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922130160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5000793-015 (Wisconsin) | Primary |
New London Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 North Ridge Dr, New London, WI 54961 Phone: 920-982-3567 |