| Fox Valley Dental Assoc. Ltd. | |
|
2315 W Main St Appleton WI 54911-4178 | |
| (920) 735-9366 | |
| Not Available |
| Full Name | Fox Valley Dental Assoc. Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2315 W Main St, Appleton, Wisconsin |
| Authorized Official Name and Position | James E. Springborn (OWNER) |
| Authorized Official Contact | 9207359366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Dental Assoc. Ltd. 2315 W Main St Appleton WI 54911-4178 Ph: (920) 735-9366 | Fox Valley Dental Assoc. Ltd. 2315 W Main St Appleton WI 54911-4178 Ph: (920) 735-9366 |
| NPI Number | 1447380811 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447380811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0570G (Wisconsin) | Primary |
| 1223G0001X | Dentist - General Practice | 4049.015 (Wisconsin) | Secondary |
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