Eau Claire Family Dental | |
1018 Regis Ct Eau Claire WI 54701-4404 | |
(715) 832-8063 | |
(715) 835-1231 |
Full Name | Eau Claire Family Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 1018 Regis Ct, Eau Claire, Wisconsin |
Authorized Official Name and Position | Nathan Henry Fleming (VICE PRESIDENT) |
Authorized Official Contact | 7158328063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eau Claire Family Dental 1018 Regis Ct Eau Claire WI 54701-4404 Ph: (715) 832-8063 | Eau Claire Family Dental 1018 Regis Ct Eau Claire WI 54701-4404 Ph: (715) 832-8063 |
NPI Number | 1841696127 |
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Provider Enumeration Date | 11/13/2014 |
Last Update Date | 11/13/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841696127 | NPI | - | NPPES |
1619063195 | Other | NPI | |
1245466317 | Other | NPI | |
1578657276 | Other | WI | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2965 (Wisconsin) | Primary |
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