| Krupka Dental Associates | |
|
1810 Crooks Ave Suite 3 Kaukauna WI 54130-3246 | |
| (920) 766-1122 | |
| Not Available |
| Full Name | Krupka Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 1810 Crooks Ave, Kaukauna, Wisconsin |
| Authorized Official Name and Position | John Krupka (PRESIDENT) |
| Authorized Official Contact | 9207661122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Krupka Dental Associates 1810 Crooks Ave Suite 3 Kaukauna WI 54130-3246 Ph: (920) 766-1122 | Krupka Dental Associates 1810 Crooks Ave Suite 3 Kaukauna WI 54130-3246 Ph: (920) 766-1122 |
| NPI Number | 1609324896 |
|---|---|
| Provider Enumeration Date | 09/15/2016 |
| Last Update Date | 10/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609324896 | NPI | - | NPPES |
| 7557350001 | Other | NSC PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | 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 | |
Kaukauna Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 233 Dodge St, Kaukauna, WI 54130 Phone: 920-766-9542 |