| Dr. Dan Stevens Family Dentistry, Llc | |
|
105 Bridge St Mayville WI 53050-1635 | |
| (920) 387-2640 | |
| Not Available |
| Full Name | Dr. Dan Stevens Family Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 105 Bridge St, Mayville, Wisconsin |
| Authorized Official Name and Position | Daniel Stevens (OWNER, DENTIST) |
| Authorized Official Contact | 9203872640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Dan Stevens Family Dentistry, Llc 105 Bridge St Mayville WI 53050-1635 Ph: (920) 387-2640 | Dr. Dan Stevens Family Dentistry, Llc 105 Bridge St Mayville WI 53050-1635 Ph: (920) 387-2640 |
| NPI Number | 1780033860 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780033860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1001098-15 (Wisconsin) | Primary |