| Dentistry For Madison, Llc | |
|
413 W Washington Ave Madison WI 53703-2703 | |
| (608) 251-8790 | |
| (608) 251-0242 |
| Full Name | Dentistry For Madison, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 413 W Washington Ave, Madison, Wisconsin |
| Authorized Official Name and Position | Diann Kielley Corbett (OFFICE MANAGER) |
| Authorized Official Contact | 6082518790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Madison, Llc 413 W Washington Ave Madison WI 53703-2703 Ph: (608) 251-8790 | Dentistry For Madison, Llc 413 W Washington Ave Madison WI 53703-2703 Ph: (608) 251-8790 |
| NPI Number | 1669640108 |
|---|---|
| Provider Enumeration Date | 02/19/2008 |
| Last Update Date | 02/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669640108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5169 (Wisconsin) | Secondary |
| 1223G0001X | Dentist - General Practice | 4304 (Wisconsin) | Primary |
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