| First City Dental Of Abbotsford, Sc | |
|
202 Birch St Abbotsford WI 54405-9439 | |
| (715) 223-4844 | |
| (715) 223-6957 |
| Full Name | First City Dental Of Abbotsford, Sc |
|---|---|
| Speciality | Dentist |
| Location | 202 Birch St, Abbotsford, Wisconsin |
| Authorized Official Name and Position | Troy D Rens (OWNER) |
| Authorized Official Contact | 7152234844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First City Dental Of Abbotsford, Sc Po Box 147 Abbotsford WI 54405-0147 Ph: (715) 223-4844 | First City Dental Of Abbotsford, Sc 202 Birch St Abbotsford WI 54405-9439 Ph: (715) 223-4844 |
| NPI Number | 1053432955 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053432955 | NPI | - | NPPES |
| 33742800 | Medicaid | WI | |
| 33742700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | WI4941 (Wisconsin) | Secondary |
| 122300000X | Dentist | WI4940 (Wisconsin) | Primary |
Bluth Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 E Birch St, Abbotsford, WI 54405 Phone: 715-223-4844 Fax: 715-223-6957 |