| Dennis R Sherraden, Dds, Llc | |
|
100 River Pl Suite 189 Monona WI 53716-4041 | |
| (608) 221-8787 | |
| (608) 441-9157 |
| Full Name | Dennis R Sherraden, Dds, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 100 River Pl, Monona, Wisconsin |
| Authorized Official Name and Position | Dennis Robert Sherraden (OWNER) |
| Authorized Official Contact | 6082218787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis R Sherraden, Dds, Llc 100 River Pl Suite 180 Monona WI 53716-4041 Ph: (608) 221-8787 | Dennis R Sherraden, Dds, Llc 100 River Pl Suite 189 Monona WI 53716-4041 Ph: (608) 221-8787 |
| NPI Number | 1861659963 |
|---|---|
| Provider Enumeration Date | 05/18/2008 |
| Last Update Date | 05/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861659963 | NPI | - | NPPES |
| 33482200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | WI 3555 (Wisconsin) | Primary |
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