| Modern Family Dentists Llc | |
|
6803 Sheridan Rd Kenosha WI 53143-1321 | |
| (262) 484-4356 | |
| Not Available |
| Full Name | Modern Family Dentists Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6803 Sheridan Rd, Kenosha, Wisconsin |
| Authorized Official Name and Position | Jamie Morsehead (PATIENT EXPERIENCE COORDINATOR) |
| Authorized Official Contact | 2624844356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Family Dentists Llc 6803 Sheridan Rd Kenosha WI 53143-1321 Ph: (262) 484-4356 | Modern Family Dentists Llc 6803 Sheridan Rd Kenosha WI 53143-1321 Ph: (262) 484-4356 |
| NPI Number | 1639574585 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 11/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639574585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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