Foxridge Dental | |
1001 N Gammon Rd Ste 1 Middleton WI 53562-3874 | |
(608) 831-5151 | |
Not Available |
Full Name | Foxridge Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 1001 N Gammon Rd Ste 1, Middleton, Wisconsin |
Authorized Official Name and Position | Sharon L Loso (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 5635821448 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Foxridge Dental 40 Main St Ste 100 Dubuque IA 52001-7654 Ph: (563) 582-1448 | Foxridge Dental 1001 N Gammon Rd Ste 1 Middleton WI 53562-3874 Ph: (608) 831-5151 |
NPI Number | 1679127856 |
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Provider Enumeration Date | 07/26/2019 |
Last Update Date | 07/29/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679127856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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