| Nading Periodontics | |
|
255 Havenwood Dr Lake Geneva WI 53147 | |
| (262) 248-8505 | |
| (262) 248-3639 |
| Full Name | Nading Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 255 Havenwood Dr, Lake Geneva, Wisconsin |
| Authorized Official Name and Position | Thomas Henry Nading (PERIODONTIST OWNER) |
| Authorized Official Contact | 2622488505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nading Periodontics 255 Havenwood Dr Lake Geneva WI 53147 Ph: (262) 248-8505 | Nading Periodontics 255 Havenwood Dr Lake Geneva WI 53147 Ph: (262) 248-8505 |
| NPI Number | 1306923487 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306923487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 129015 (Wisconsin) | Primary |
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