| Madison Pediatric Dental, Sc | |
|
100 River Pl Suite 110 Madison WI 53716-4041 | |
| (608) 222-6160 | |
| (608) 222-6248 |
| Full Name | Madison Pediatric Dental, Sc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 100 River Pl, Madison, Wisconsin |
| Authorized Official Name and Position | Janet Will (OFFICE MANAGER) |
| Authorized Official Contact | 6082226160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Pediatric Dental, Sc 100 River Pl Suite 110 Madison WI 53716-4041 Ph: (608) 222-6160 | Madison Pediatric Dental, Sc 100 River Pl Suite 110 Madison WI 53716-4041 Ph: (608) 222-6160 |
| NPI Number | 1538230966 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538230966 | NPI | - | NPPES |
| 33376600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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