| J P Irelan Endodontics Llc | |
|
6754 Lindermann Ave Mount Pleasant WI 53406-5603 | |
| (262) 632-5455 | |
| (262) 632-2858 |
| Full Name | J P Irelan Endodontics Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6754 Lindermann Ave, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Jon Irelan (OWNER) |
| Authorized Official Contact | 2626325455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J P Irelan Endodontics Llc 6100 W State St Apt 531 Wauwatosa WI 53213-4604 Ph: (503) 715-6971 | J P Irelan Endodontics Llc 6754 Lindermann Ave Mount Pleasant WI 53406-5603 Ph: (262) 632-5455 |
| NPI Number | 1306345814 |
|---|---|
| Provider Enumeration Date | 02/09/2018 |
| Last Update Date | 02/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306345814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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