| New London Family Dental Llc | |
|
105 North Ridge Dr New London WI 54961-5496 | |
| (920) 982-3567 | |
| Not Available |
| Full Name | New London Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 North Ridge Dr, New London, Wisconsin |
| Authorized Official Name and Position | Kayla Thorpe (OFFICE MANAGER) |
| Authorized Official Contact | 9209823567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New London Family Dental Llc 105 Northridge Dr New London WI 54961-2703 Ph: (920) 982-3567 | New London Family Dental Llc 105 North Ridge Dr New London WI 54961-5496 Ph: (920) 982-3567 |
| NPI Number | 1154890549 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 06/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154890549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Charles C. Loberg D.d.s.,s.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Wisconsin St, New London, WI 54961 Phone: 920-982-5181 Fax: 920-982-1098 |