| James Lord Dds ,sc | |
|
1001 N Gammon Rd Suite #1 Middleton WI 53562-3874 | |
| (608) 831-5151 | |
| (608) 831-3194 |
| Full Name | James Lord Dds ,sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1001 N Gammon Rd, Middleton, Wisconsin |
| Authorized Official Name and Position | James A Lord (OWNER) |
| Authorized Official Contact | 6088315151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Lord Dds ,sc 1001 N Gammon Rd Suite #1 Middleton WI 53562-3874 Ph: (608) 831-5151 | James Lord Dds ,sc 1001 N Gammon Rd Suite #1 Middleton WI 53562-3874 Ph: (608) 831-5151 |
| NPI Number | 1801181698 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 06/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801181698 | NPI | - | NPPES |
| 33711200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3250015 (Wisconsin) | Primary |
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