| Krissy Connor Dds | |
|
14320 W Greenfield Ave Brookfield WI 53005-7036 | |
| (262) 923-7879 | |
| (262) 436-2541 |
| Full Name | Krissy Connor Dds |
|---|---|
| Speciality | Dentist |
| Location | 14320 W Greenfield Ave, Brookfield, Wisconsin |
| Authorized Official Name and Position | Krissy Connor (OWNER/DDS) |
| Authorized Official Contact | 2629237879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krissy Connor Dds 14320 W Greenfield Ave Brookfield WI 53005-7036 Ph: (262) 923-7879 | Krissy Connor Dds 14320 W Greenfield Ave Brookfield WI 53005-7036 Ph: (262) 923-7879 |
| NPI Number | 1811398654 |
|---|---|
| Provider Enumeration Date | 09/11/2014 |
| Last Update Date | 03/07/2024 |
| Medicare PECOS PAC ID | 6305161738 |
|---|---|
| Medicare Enrollment ID | O20150206000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811398654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6310-015 (Wisconsin) | Primary |
| Provider Name | Krissy Connor |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1346499332 PECOS PAC ID: 6800018532 Enrollment ID: I20150206000403 |
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