| Deerwood Orthodontics Cudahy | |
|
3527 E Squire Ave Cudahy WI 53110-1426 | |
| (414) 744-3500 | |
| Not Available |
| Full Name | Deerwood Orthodontics Cudahy |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3527 E Squire Ave, Cudahy, Wisconsin |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deerwood Orthodontics Cudahy 3527 E Squire Ave Cudahy WI 53110-1426 Ph: (414) 744-3500 | Deerwood Orthodontics Cudahy 3527 E Squire Ave Cudahy WI 53110-1426 Ph: (414) 744-3500 |
| NPI Number | 1639551278 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639551278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3157 (Wisconsin) | Primary |
Kittleson & Kittleson, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3527 E Squire Ave, Cudahy, WI 53110 Phone: 414-744-3500 | |
Cudahy Dental Associates, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6217 S Packard Ave, Cudahy, WI 53110 Phone: 414-764-5550 Fax: 414-764-8175 |