| Dean R. Hussong, Dds, Sc | |
|
10 Bradley Farm Rd Tomahawk WI 54487-1563 | |
| (715) 453-5321 | |
| Not Available |
| Full Name | Dean R. Hussong, Dds, Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10 Bradley Farm Rd, Tomahawk, Wisconsin |
| Authorized Official Name and Position | Dean R Hussong (PRESIDENT) |
| Authorized Official Contact | 7154535321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dean R. Hussong, Dds, Sc 10 Bradley Farm Rd Tomahawk WI 54487-1563 Ph: (715) 453-5321 | Dean R. Hussong, Dds, Sc 10 Bradley Farm Rd Tomahawk WI 54487-1563 Ph: (715) 453-5321 |
| NPI Number | 1336365949 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336365949 | NPI | - | NPPES |
| 38391200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5002144-015 (Wisconsin) | Primary |
Reilly Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1018 King Rd, Tomahawk, WI 54487 Phone: 715-453-7071 Fax: 715-453-9461 | |
Tomahawk Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Bradley Farm Rd, Tomahawk, WI 54487 Phone: 715-453-5321 |