| Dodgeville Dental Llc | |
|
703 N Bequette St Dodgeville WI 53533-1109 | |
| (608) 935-5262 | |
| (608) 930-5265 |
| Full Name | Dodgeville Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 703 N Bequette St, Dodgeville, Wisconsin |
| Authorized Official Name and Position | Kymberly Ann Fritz (DENTIST/ OWNER) |
| Authorized Official Contact | 6089355262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dodgeville Dental Llc 703 N Bequette St Dodgeville WI 53533-1109 Ph: (608) 935-5262 | Dodgeville Dental Llc 703 N Bequette St Dodgeville WI 53533-1109 Ph: (608) 935-5262 |
| NPI Number | 1245727940 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 04/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245727940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Southwest Dental Associates, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 Joseph Street, Dodgeville, WI 53533 Phone: 608-935-7700 |