| Implant Dentistry Of Wisconsin | |
|
1034 W Broadway Ave Medford WI 54451-1310 | |
| (715) 748-4432 | |
| Not Available |
| Full Name | Implant Dentistry Of Wisconsin |
|---|---|
| Speciality | Dentist |
| Location | 1034 W Broadway Ave, Medford, Wisconsin |
| Authorized Official Name and Position | Kim A Gowey (PRESIDENT) |
| Authorized Official Contact | 7157484432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Implant Dentistry Of Wisconsin Po Box 389 Medford WI 54451-0389 Ph: () - | Implant Dentistry Of Wisconsin 1034 W Broadway Ave Medford WI 54451-1310 Ph: (715) 748-4432 |
| NPI Number | 1245355460 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245355460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5001790015 (Wisconsin) | Primary |
Gelhaus Dental Clinic S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 W Broadway Ave, Medford, WI 54451 Phone: 715-748-4020 Fax: 715-748-4020 | |
First Impressions Of Medford Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 S Main St, Medford, WI 54451 Phone: 715-748-5435 | |
Medford Dental Clinic Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 E Broadway, Medford, WI 54451 Phone: 715-748-4111 Fax: 715-748-4896 |