| Lifetime Dental Care Sc | |
|
822 S Hastings Way Eau Claire WI 54701-3426 | |
| (715) 552-1000 | |
| (715) 552-2772 |
| Full Name | Lifetime Dental Care Sc |
|---|---|
| Speciality | Dentist |
| Location | 822 S Hastings Way, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Anthony R Butchert (OWNER) |
| Authorized Official Contact | 7155521000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Care Sc 822 S Hastings Way Eau Claire WI 54701-3426 Ph: () - | Lifetime Dental Care Sc 822 S Hastings Way Eau Claire WI 54701-3426 Ph: (715) 552-1000 |
| NPI Number | 1659796944 |
|---|---|
| Provider Enumeration Date | 02/24/2014 |
| Last Update Date | 02/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659796944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5001709-15 (Wisconsin) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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