| Reedsburg Family Dental, S.c. | |
|
764 Crestview Dr Reedsburg WI 53959-2581 | |
| (608) 524-4213 | |
| (608) 524-0743 |
| Full Name | Reedsburg Family Dental, S.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 764 Crestview Dr, Reedsburg, Wisconsin |
| Authorized Official Name and Position | Ashley E Sorenson (PRESIDENT) |
| Authorized Official Contact | 6085244213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reedsburg Family Dental, S.c. 764 Crestview Dr P.o. Box 383 Reedsburg WI 53959-2581 Ph: (608) 524-4213 | Reedsburg Family Dental, S.c. 764 Crestview Dr Reedsburg WI 53959-2581 Ph: (608) 524-4213 |
| NPI Number | 1952460123 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 09/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952460123 | NPI | - | NPPES |
| 38381600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3386-015 (Wisconsin) | Primary |
Daniel S Zavadsky Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 N Webb Ave, Reedsburg, WI 53959 Phone: 608-524-4212 Fax: 608-524-4212 |