Dental Expressions Sc | |
N3946 Columbia Ave Freedom WI 54130-7552 | |
(920) 788-6280 | |
Not Available |
Full Name | Dental Expressions Sc |
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Speciality | Clinic/center - Dental |
Location | N3946 Columbia Ave, Freedom, Wisconsin |
Authorized Official Name and Position | Robert Heil (PRESIDENT) |
Authorized Official Contact | 9204285416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Expressions Sc 623 E Tallgrass Dr Appleton WI 54913-7505 Ph: (920) 428-5416 | Dental Expressions Sc N3946 Columbia Ave Freedom WI 54130-7552 Ph: (920) 788-6280 |
NPI Number | 1588081210 |
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Provider Enumeration Date | 03/19/2014 |
Last Update Date | 01/07/2022 |
Identifier | Type | State | Issuer |
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1588081210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 5139-15 (Wisconsin) | Primary |