| Family Dentistry Sc | |
|
135 W Second Street New Richmond WI 54017 | |
| (715) 246-6603 | |
| (715) 246-6649 |
| Full Name | Family Dentistry Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 135 W Second Street, New Richmond, Wisconsin |
| Authorized Official Name and Position | John Lee Mike (DENTIST) |
| Authorized Official Contact | 7152466493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Sc 135 W Second Street Po Box 55 New Richmond WI 54017 Ph: (715) 246-6603 | Family Dentistry Sc 135 W Second Street New Richmond WI 54017 Ph: (715) 246-6603 |
| NPI Number | 1205915287 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205915287 | NPI | - | NPPES |
| 38370900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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