| Greendale Dental Associates, S.c. | |
|
5808 Broad St Greendale WI 53129-2404 | |
| (414) 421-2303 | |
| (414) 421-2576 |
| Full Name | Greendale Dental Associates, S.c. |
|---|---|
| Speciality | Dentist |
| Location | 5808 Broad St, Greendale, Wisconsin |
| Authorized Official Name and Position | Robert William Anderson (SECRETARY) |
| Authorized Official Contact | 4144212303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greendale Dental Associates, S.c. 5808 Broad St Greendale WI 53129-2404 Ph: (414) 421-2303 | Greendale Dental Associates, S.c. 5808 Broad St Greendale WI 53129-2404 Ph: (414) 421-2303 |
| NPI Number | 1659425163 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659425163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Dental Care Alliance Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5808 Broad St, Greendale, WI 53129 Phone: 414-421-2303 |