| Hartjes Dental Association, Llc | |
|
1001 N Gammon Rd Suite 2 Middleton WI 53562-3874 | |
| (608) 836-5600 | |
| (608) 836-4589 |
| Full Name | Hartjes Dental Association, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1001 N Gammon Rd, Middleton, Wisconsin |
| Authorized Official Name and Position | Joel M Hartjes (PARTNER) |
| Authorized Official Contact | 6088365600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartjes Dental Association, Llc 1001 N Gammon Rd Suite 2 Middleton WI 53562-3874 Ph: (608) 836-5600 | Hartjes Dental Association, Llc 1001 N Gammon Rd Suite 2 Middleton WI 53562-3874 Ph: (608) 836-5600 |
| NPI Number | 1982778833 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982778833 | NPI | - | NPPES |
| 33431600 | Medicaid | WI | |
| 33784500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4461 & 2835 (Wisconsin) | Primary |
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