| Eastridge Dental | |
|
2343 E Mason St Green Bay WI 54302-3764 | |
| (920) 468-8144 | |
| Not Available |
| Full Name | Eastridge Dental |
|---|---|
| Speciality | Dentist |
| Location | 2343 E Mason St, Green Bay, Wisconsin |
| Authorized Official Name and Position | John E. Patrickus (PRESIDENT) |
| Authorized Official Contact | 9204688144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastridge Dental 2343 E. Mason Street Green Bay WI 54302 Ph: (920) 468-8144 | Eastridge Dental 2343 E Mason St Green Bay WI 54302-3764 Ph: (920) 468-8144 |
| NPI Number | 1184775892 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184775892 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Affordable Dentures & Implants - Green Bay, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800-c W. Mason Street, Green Bay, WI 54303 Phone: 920-499-7159 | |
The Center For Dental Excellence, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Security Blvd, Green Bay, WI 54313 Phone: 920-662-1440 Fax: 920-662-1443 | |
Greenbayctd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2280 Holmgren Way, Green Bay, WI 54304 Phone: 920-489-3491 | |
Echo Ridge Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2140 S. Ridge Rd., Green Bay, WI 54304 Phone: 920-494-7464 Fax: 920-494-7919 | |
Munoz Family And Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Security Blvd, Green Bay, WI 54313 Phone: 920-662-1440 | |
Howe Dental Room Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 S Monroe Ave, Green Bay, WI 54301 Phone: 920-448-7340 | |
Baylakes Center For Complex Dentistry Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Siegler St, Green Bay, WI 54303 Phone: 920-499-9958 Fax: 920-499-1492 |