| Dowling Dental Clinic Of Omro, Inc. | |
|
1771 E Main St Omro WI 54963-1594 | |
| (920) 685-2121 | |
| (920) 685-0467 |
| Full Name | Dowling Dental Clinic Of Omro, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1771 E Main St, Omro, Wisconsin |
| Authorized Official Name and Position | Thomas M Dowling (OWNER) |
| Authorized Official Contact | 9206852121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dowling Dental Clinic Of Omro, Inc. 1771 E Main St Po Box 503 Omro WI 54963-1594 Ph: (920) 685-2121 | Dowling Dental Clinic Of Omro, Inc. 1771 E Main St Omro WI 54963-1594 Ph: (920) 685-2121 |
| NPI Number | 1750605580 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 03/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750605580 | NPI | - | NPPES |
| 33455800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3181 (Wisconsin) | Primary |
Dowling Dental Clinic Of Omro Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1771 E Main St, Omro, WI 54963 Phone: 920-685-2121 |