| Doty Island Dental | |
|
151 E Forest Ave Neenah WI 54956-2758 | |
| (920) 725-4307 | |
| Not Available |
| Full Name | Doty Island Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 151 E Forest Ave, Neenah, Wisconsin |
| Authorized Official Name and Position | Bryan James Mick (GENERAL DENTIST) |
| Authorized Official Contact | 9207254307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doty Island Dental 151 E Forest Ave Neenah WI 54956-2758 Ph: (920) 725-4307 | Doty Island Dental 151 E Forest Ave Neenah WI 54956-2758 Ph: (920) 725-4307 |
| NPI Number | 1538602503 |
|---|---|
| Provider Enumeration Date | 11/23/2016 |
| Last Update Date | 11/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538602503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6961-15 (Wisconsin) | Primary |
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