| Homestead Dental Llc | |
|
1580 W. American Drive Neenah WI 54956-5494 | |
| (920) 858-6907 | |
| Not Available |
| Full Name | Homestead Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1580 W. American Drive, Neenah, Wisconsin |
| Authorized Official Name and Position | Megan Wolfinger (DENTIST/OWNER) |
| Authorized Official Contact | 9208586907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homestead Dental Llc N1881 Savannah Dr Greenville WI 54942-8597 Ph: (920) 858-6907 | Homestead Dental Llc 1580 W. American Drive Neenah WI 54956-5494 Ph: (920) 858-6907 |
| NPI Number | 1093595548 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 10/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093595548 | NPI | - | NPPES |
| 1730613555 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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