Florek Henderson Dental Llc | |
1380 S Commercial St Neenah WI 54956-4636 | |
(920) 725-5357 | |
(920) 969-9813 |
Full Name | Florek Henderson Dental Llc |
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Speciality | Dentist |
Location | 1380 S Commercial St, Neenah, Wisconsin |
Authorized Official Name and Position | Jason Robert Henderson (OWNER) |
Authorized Official Contact | 9207255357 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Florek Henderson Dental Llc 1380 S Commercial St Neenah WI 54956-4636 Ph: (920) 725-5357 | Florek Henderson Dental Llc 1380 S Commercial St Neenah WI 54956-4636 Ph: (920) 725-5357 |
NPI Number | 1225127947 |
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Provider Enumeration Date | 10/12/2006 |
Last Update Date | 06/16/2023 |
Medicare PECOS PAC ID | 3678923265 |
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Medicare Enrollment ID | O20231222000199 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225127947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5223-015 (Wisconsin) | Primary |
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