| Lincoln Ave Dental Group Sc | |
|
2700 W Lincoln Ave Milwaukee WI 53215 | |
| (414) 645-0217 | |
| (414) 645-1502 |
| Full Name | Lincoln Ave Dental Group Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2700 W Lincoln Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Steven Raymond Kanugh (PRESIDENT DENTIST) |
| Authorized Official Contact | 4146450217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Ave Dental Group Sc 2700 W Lincoln Ave Milwaukee WI 53215 Ph: (414) 645-0217 | Lincoln Ave Dental Group Sc 2700 W Lincoln Ave Milwaukee WI 53215 Ph: (414) 645-0217 |
| NPI Number | 1861595324 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861595324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3800015 (Wisconsin) | Secondary |
| 1223G0001X | Dentist - General Practice | 5266015 (Wisconsin) | Primary |
Forward Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9052 N Deerbrook Trl, Milwaukee, WI 53223 Phone: 414-357-2040 | |
Pro Dental Wi 1 Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1838 S 15th St, Milwaukee, WI 53204 Phone: 414-455-8805 Fax: 414-455-8812 | |
Marquette University School Of Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 W Wisconsin Ave, Suite 145 B, Milwaukee, WI 53233 Phone: 414-288-5902 Fax: 414-288-8361 | |
Sleepclearnow, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6070 N Port Washington Rd, Milwaukee, WI 53217 Phone: 414-962-4100 | |
Layton Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 W Layton Ave Ste 305, Milwaukee, WI 53207 Phone: 414-539-4005 Fax: 414-539-6007 | |
Forwarddental Rivercenter Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1575 N Rivercenter Dr Ste 200, Milwaukee, WI 53212 Phone: 414-276-5453 Fax: 414-276-1715 | |
Doctors' Denture Systems Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 W Lincoln Ave, Milwaukee, WI 53207 Phone: 414-671-5720 Fax: 414-671-5745 |