| Great Day Dental Of East Madison | |
|
2010 Eastwood Dr Ste 206 Madison WI 53704-5387 | |
| (608) 241-1579 | |
| (608) 241-2061 |
| Full Name | Great Day Dental Of East Madison |
|---|---|
| Speciality | Clinic/Center |
| Location | 2010 Eastwood Dr Ste 206, Madison, Wisconsin |
| Authorized Official Name and Position | Jessica Kiecker (OWNER) |
| Authorized Official Contact | 6082411579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Day Dental Of East Madison 1532 W Broadway Ste 101 Monona WI 53713-1827 Ph: (608) 221-3326 | Great Day Dental Of East Madison 2010 Eastwood Dr Ste 206 Madison WI 53704-5387 Ph: (608) 241-1579 |
| NPI Number | 1992217053 |
|---|---|
| Provider Enumeration Date | 10/30/2017 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 0941650766 |
|---|---|
| Medicare Enrollment ID | O20231220001003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992217053 | NPI | - | NPPES |
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