| Eby Family Dental Of Jefferson | |
|
1491 S Main St Jefferson WI 53549-2931 | |
| (920) 563-2928 | |
| (920) 897-6081 |
| Full Name | Eby Family Dental Of Jefferson |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1491 S Main St, Jefferson, Wisconsin |
| Authorized Official Name and Position | Cassandra L Rendon (INSURANCE COORDINATOR) |
| Authorized Official Contact | 9205632928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eby Family Dental Of Jefferson Po Box 299 Jefferson WI 53549-0299 Ph: (920) 563-2928 | Eby Family Dental Of Jefferson 1491 S Main St Jefferson WI 53549-2931 Ph: (920) 563-2928 |
| NPI Number | 1881307882 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 01/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881307882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Area Dental Jefferson, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 846 E Reinel St, Jefferson, WI 53549 Phone: 920-674-6714 |