| Mcbride Dental Sc | |
|
336 Harbor View Dr Fond Du Lac WI 54935 | |
| (920) 922-9400 | |
| (920) 921-3260 |
| Full Name | Mcbride Dental Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 336 Harbor View Dr, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Timothy M Mcbride (OWNER) |
| Authorized Official Contact | 9209229400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcbride Dental Sc 336 Harbor View Dr Fond Du Lac WI 54935 Ph: (920) 922-9400 | Mcbride Dental Sc 336 Harbor View Dr Fond Du Lac WI 54935 Ph: (920) 922-9400 |
| NPI Number | 1073624326 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073624326 | NPI | - | NPPES |
| 33490200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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