| Echo Ridge Dental Clinic | |
|
2140 S Ridge Rd Green Bay WI 54304-4357 | |
| (920) 494-7464 | |
| Not Available |
| Full Name | Echo Ridge Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2140 S Ridge Rd, Green Bay, Wisconsin |
| Authorized Official Name and Position | Raymond Schneider Iii (DENTIST/OWNER) |
| Authorized Official Contact | 9204947464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Echo Ridge Dental Clinic 2140 S Ridge Rd Green Bay WI 54304-4357 Ph: (920) 494-7464 | Echo Ridge Dental Clinic 2140 S Ridge Rd Green Bay WI 54304-4357 Ph: (920) 494-7464 |
| NPI Number | 1861848293 |
|---|---|
| Provider Enumeration Date | 05/04/2016 |
| Last Update Date | 05/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861848293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1223G0001X (Wisconsin) | Primary |
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