|
| |
|
2020 County Road Hh Plover WI 54467-2653 | |
| (715) 341-5001 | |
| (715) 341-8983 |
| Full Name | |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 2020 County Road Hh, Plover, Wisconsin |
| Authorized Official Name and Position | David P Barr (OWNER/DENTIST) |
| Authorized Official Contact | 7153415001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11825 State Route 40 Suite 100 Dunlap IL 61525-8842 Ph: (309) 839-9941 | 2020 County Road Hh Plover WI 54467-2653 Ph: (715) 341-5001 |
| NPI Number | 1689106387 |
|---|---|
| Provider Enumeration Date | 03/31/2017 |
| Last Update Date | 01/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689106387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3272-15 (Wisconsin) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Frana 2011 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1570 American Dr, Plover, WI 54467 Phone: 715-341-7665 Fax: 715-341-4776 | |
Tad C. Meier, D.d.s., S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2921 Rainbow Dr, Plover, WI 54467 Phone: 715-344-5716 Fax: 715-295-0748 | |