Kaukauna Family Dentistry | |
233 Dodge St Kaukauna WI 54130-2500 | |
(920) 766-9542 | |
Not Available |
Full Name | Kaukauna Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 233 Dodge St, Kaukauna, Wisconsin |
Authorized Official Name and Position | Curtis R. Hebdon (PRACTICE OWNER) |
Authorized Official Contact | 9207669542 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kaukauna Family Dentistry 233 Dodge St Kaukauna WI 54130-2500 Ph: (920) 766-9542 | Kaukauna Family Dentistry 233 Dodge St Kaukauna WI 54130-2500 Ph: (920) 766-9542 |
NPI Number | 1134600448 |
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Provider Enumeration Date | 08/24/2018 |
Last Update Date | 08/24/2018 |
Identifier | Type | State | Issuer |
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1134600448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 1001802-15 (Wisconsin) | Primary |
Kaukauna Family Dentistry, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 Dodge St, Kaukauna, WI 54130 Phone: 920-766-9542 Fax: 920-759-4439 | |
Krupka Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Crooks Ave, Suite 3, Kaukauna, WI 54130 Phone: 920-766-1122 |