| J R Wolfenden Dds Sc | |
|
925 Water Ave Hillsboro WI 54634 | |
| (608) 489-3499 | |
| Not Available |
| Full Name | J R Wolfenden Dds Sc |
|---|---|
| Speciality | Dentist |
| Location | 925 Water Ave, Hillsboro, Wisconsin |
| Authorized Official Name and Position | Jay R Wolfenden (PRESIDENT) |
| Authorized Official Contact | 6084893499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J R Wolfenden Dds Sc Po Box 31 Hillsboro WI 54634-0031 Ph: (608) 489-3499 | J R Wolfenden Dds Sc 925 Water Ave Hillsboro WI 54634 Ph: (608) 489-3499 |
| NPI Number | 1306968458 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306968458 | NPI | - | NPPES |
| 33660600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5001524015 (Wisconsin) | Primary |