Forwarddental Madison East | |
1734 Thierer Rd Madison WI 53704-3718 | |
(608) 244-6888 | |
(608) 244-2372 |
Full Name | Forwarddental Madison East |
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Speciality | Dentist - General Practice |
Location | 1734 Thierer Rd, Madison, Wisconsin |
Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Forwarddental Madison East 1734 Thierer Rd Madison WI 53704-3718 Ph: (608) 244-6888 | Forwarddental Madison East 1734 Thierer Rd Madison WI 53704-3718 Ph: (608) 244-6888 |
NPI Number | 1982734323 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 03/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982734323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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