| Deerwood Orthodontics, Llc | |
|
N14w23833 Stone Ridge Dr Ste 100 Waukesha WI 53188-1189 | |
| (262) 524-1072 | |
| (262) 524-9225 |
| Full Name | Deerwood Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | N14w23833 Stone Ridge Dr Ste 100, Waukesha, 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, Llc N14w23833 Stone Ridge Dr Ste 100 Waukesha WI 53188-1189 Ph: (262) 524-1072 | Deerwood Orthodontics, Llc N14w23833 Stone Ridge Dr Ste 100 Waukesha WI 53188-1189 Ph: (262) 524-1072 |
| NPI Number | 1962150458 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 03/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962150458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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