| Knutson Family Dental | |
|
501 Lucas Ln Ellsworth WI 54011-2800 | |
| (715) 523-9874 | |
| Not Available |
| Full Name | Knutson Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 501 Lucas Ln, Ellsworth, Wisconsin |
| Authorized Official Name and Position | Kaitlin Knutson (DENTIST/OWNER) |
| Authorized Official Contact | 7155239874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knutson Family Dental N7536 County Road J Beldenville WI 54003-5418 Ph: (715) 523-9874 | Knutson Family Dental 501 Lucas Ln Ellsworth WI 54011-2800 Ph: (715) 523-9874 |
| NPI Number | 1841871845 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 04/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841871845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Shaw Family Dental Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 W. Lucas Lane, Ellsworth, WI 54011 Phone: 715-273-3700 Fax: 715-273-1700 |