| |
15100 Library Ln New Berlin WI 53151-5291 | |
(262) 641-0056 | |
(262) 641-0058 |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 15100 Library Ln, New Berlin, 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 |
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15100 Library Ln New Berlin WI 53151-5291 Ph: (262) 641-0056 | 15100 Library Ln New Berlin WI 53151-5291 Ph: (262) 641-0056 |
NPI Number | 1952431090 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 03/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952431090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Thomas J Volm Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15738 W National Ave, New Berlin, WI 53151 Phone: 262-784-2110 Fax: 262-784-9451 | |
New Berlin Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15430 W National Ave, New Berlin, WI 53151 Phone: 262-797-8303 | |
Willow Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 S Sunnyslope Rd Ste 100, New Berlin, WI 53151 Phone: 262-505-1000 |