| Dental Associates Of Lake Mills, Inc. | |
|
311 E Tyranena Park Rd Lake Mills WI 53551-9681 | |
| (920) 648-2331 | |
| (920) 648-3437 |
| Full Name | Dental Associates Of Lake Mills, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 311 E Tyranena Park Rd, Lake Mills, Wisconsin |
| Authorized Official Name and Position | Diane M. Schleicher (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9206482331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates Of Lake Mills, Inc. 311 E Tyranena Park Rd Lake Mills WI 53551-9681 Ph: (920) 648-2331 | Dental Associates Of Lake Mills, Inc. 311 E Tyranena Park Rd Lake Mills WI 53551-9681 Ph: (920) 648-2331 |
| NPI Number | 1629224852 |
|---|---|
| Provider Enumeration Date | 08/07/2008 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629224852 | NPI | - | NPPES |
| 33489300 | Medicaid | WI | |
| 33794300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3647 (Wisconsin) | Primary |
Lake Mills Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 E Lake St, Lake Mills, WI 53551 Phone: 920-648-8254 Fax: 920-648-3655 | |
Oral Health Clinic Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 N Main St, Lake Mills, WI 53551 Phone: 920-648-2327 |