| Lifetime Family Dentistry Of Two Rivers | |
|
1509 19th St Two Rivers WI 54241-2628 | |
| (920) 794-8947 | |
| (920) 793-8463 |
| Full Name | Lifetime Family Dentistry Of Two Rivers |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1509 19th St, Two Rivers, Wisconsin |
| Authorized Official Name and Position | Timothy Buck (OWNER) |
| Authorized Official Contact | 6082201168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Family Dentistry Of Two Rivers 1509 19th St Two Rivers WI 54241-2628 Ph: (920) 794-8947 | Lifetime Family Dentistry Of Two Rivers 1509 19th St Two Rivers WI 54241-2628 Ph: (920) 794-8947 |
| NPI Number | 1972892214 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 04/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972892214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3639015 (Wisconsin) | Primary |
Two Rivers Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 23rd St, Two Rivers, WI 54241 Phone: 920-794-7100 | |
Paczkowski Family Dental, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1614 Washington St, Two Rivers, WI 54241 Phone: 920-794-8911 |