| Fox Valley Dental Center | |
|
760 W Northland Ave Appleton WI 54914-1425 | |
| (920) 731-7717 | |
| (920) 733-6014 |
| Full Name | Fox Valley Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 760 W Northland Ave, Appleton, Wisconsin |
| Authorized Official Name and Position | Katie Leah Hareid (OWNER/MEMBER) |
| Authorized Official Contact | 4153076025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Dental Center 315 Kraft St Neenah WI 54956-4988 Ph: (415) 307-6025 | Fox Valley Dental Center 760 W Northland Ave Appleton WI 54914-1425 Ph: (920) 731-7717 |
| NPI Number | 1396468476 |
|---|---|
| Provider Enumeration Date | 09/22/2022 |
| Last Update Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396468476 | NPI | - | NPPES |
| 1972751923 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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