| Hauge Dental Care, Ltd | |
|
108 Chieftain St Osceola WI 54020-0159 | |
| (715) 294-2202 | |
| (715) 294-9995 |
| Full Name | Hauge Dental Care, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 108 Chieftain St, Osceola, Wisconsin |
| Authorized Official Name and Position | Thomas Paul Hauge (OWNER) |
| Authorized Official Contact | 7152942202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hauge Dental Care, Ltd Po Box 159 Osceola WI 54020-0159 Ph: (715) 294-2202 | Hauge Dental Care, Ltd 108 Chieftain St Osceola WI 54020-0159 Ph: (715) 294-2202 |
| NPI Number | 1780724153 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780724153 | NPI | - | NPPES |
| 38390100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4810 (Wisconsin) | Primary |
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