| Community Dental | |
|
716 W Adams St Black River Falls WI 54615-9108 | |
| (715) 284-9409 | |
| (715) 284-9167 |
| Full Name | Community Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 716 W Adams St, Black River Falls, Wisconsin |
| Authorized Official Name and Position | Maria E Burlingame (OFFICE) |
| Authorized Official Contact | 7152849409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental 716 W Adams St Black River Falls WI 54615-9108 Ph: (715) 284-9409 | Community Dental 716 W Adams St Black River Falls WI 54615-9108 Ph: (715) 284-9409 |
| NPI Number | 1588666747 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588666747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Wisconsin) | Primary |
Black River Family Dentistry Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N6625 County Hwy A, Black River Falls, WI 54615 Phone: 715-284-3100 Fax: 715-284-8115 | |
Black River Falls Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: N6625 County Road A, Black River Falls, WI 54615 Phone: 715-284-3100 |