| Marquette University School Of Dentistry | |
|
1801 W Wisconsin Ave Suite 145 B Milwaukee WI 53233-2186 | |
| (414) 288-5902 | |
| (414) 288-8361 |
| Full Name | Marquette University School Of Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1801 W Wisconsin Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Timothy C Creamer (ASSOCIATE DEAN) |
| Authorized Official Contact | 4142887485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marquette University School Of Dentistry Po Box 1881 Suite 145 B Milwaukee WI 53201-1881 Ph: (414) 288-5902 | Marquette University School Of Dentistry 1801 W Wisconsin Ave Suite 145 B Milwaukee WI 53233-2186 Ph: (414) 288-5902 |
| NPI Number | 1013937499 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013937499 | NPI | - | NPPES |
| 33360600 | Medicaid | WI |
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