| Lakeview Dental Center, Sc | |
|
615 Lake Shore Dr W Ashland WI 54806-1507 | |
| (715) 682-2811 | |
| Not Available |
| Full Name | Lakeview Dental Center, Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 615 Lake Shore Dr W, Ashland, Wisconsin |
| Authorized Official Name and Position | Barry T Jacobs (PRESIDENT) |
| Authorized Official Contact | 7156822811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Dental Center, Sc 615 Lake Shore Dr W Ashland WI 54806-1507 Ph: (715) 682-2811 | Lakeview Dental Center, Sc 615 Lake Shore Dr W Ashland WI 54806-1507 Ph: (715) 682-2811 |
| NPI Number | 1134285075 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134285075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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