|
| |
|
1260 Milton Ave Ste 140 Janesville WI 53545-1835 | |
| (608) 757-0057 | |
| (608) 743-9108 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1260 Milton Ave, Janesville, Wisconsin |
| Authorized Official Name and Position | Brandon Alexander Taylor (CREDENTIALING & PAYER RELATIONS MAN) |
| Authorized Official Contact | 8474537396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2050 East Algonquin Road Suite 610 Schaumburg IL 60173-4166 Ph: (847) 453-7396 | 1260 Milton Ave Ste 140 Janesville WI 53545-1835 Ph: (608) 757-0057 |
| NPI Number | 1437508405 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 10/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437508405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Contemporary Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4425 Woodgate Drive, Janesville, WI 53546 Phone: 608-531-0555 | |
Dr. Mark Boeche D.d.s. Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 E Milwaukee St, Janesville, WI 53545 Phone: 608-754-5768 Fax: 608-754-7195 | |
Winter & Winter Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2203 Holiday Dr, Janesville, WI 53545 Phone: 608-752-2931 | |
Robinson & Prijic Dental Associates, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1714 N Randall Ave, Janesville, WI 53545 Phone: 608-756-1229 |