Neal B O'shaughnessy Dds Ltd | |
1507 Tower Avenue Suite 410 Superior WI 54880-2532 | |
(715) 392-6213 | |
(715) 392-4631 |
Full Name | Neal B O'shaughnessy Dds Ltd |
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Speciality | Dentist - General Practice |
Location | 1507 Tower Avenue, Superior, Wisconsin |
Authorized Official Name and Position | Neal Burton Oshavghnessy (PRESIDENT) |
Authorized Official Contact | 7153926213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Neal B O'shaughnessy Dds Ltd 1507 Tower Avenue Suite 410 Superior WI 54880-2532 Ph: (715) 392-6213 | Neal B O'shaughnessy Dds Ltd 1507 Tower Avenue Suite 410 Superior WI 54880-2532 Ph: (715) 392-6213 |
NPI Number | 1871679035 |
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Provider Enumeration Date | 10/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871679035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4337-015 (Wisconsin) | Primary |
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