| North Shore Dental L.l.c. | |
|
1345 W Towne Square Rd Mequon WI 53092-5047 | |
| (262) 242-1180 | |
| Not Available |
| Full Name | North Shore Dental L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1345 W Towne Square Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Allen D Langeberg (PRESIDENT/OWNER) |
| Authorized Official Contact | 2622421180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Dental L.l.c. 1345 W Towne Square Rd Mequon WI 53092-5047 Ph: (262) 242-1180 | North Shore Dental L.l.c. 1345 W Towne Square Rd Mequon WI 53092-5047 Ph: (262) 242-1180 |
| NPI Number | 1942455845 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 01/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942455845 | NPI | - | NPPES |
| 38355900 | Medicaid | WI | |
| 816118 | Other | WI | UNITED CONCORDIA / TRI CARE INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2294 (Wisconsin) | Primary |
Kittleson Orthodontics, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10521 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-3141 | |
North Shore Dental Group S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 W Mequon Rd, Mequon, WI 53092 Phone: 262-242-1180 Fax: 262-242-0930 | |
Comprehensive Dental Services Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10521 N Port Washington Rd, Suite 200, Mequon, WI 53092 Phone: 262-241-2060 Fax: 262-241-2064 | |
Wisconsin Dental Group, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6048 W Mequon Rd Ste 200, Mequon, WI 53092 Phone: 414-216-9211 Fax: 414-216-9216 | |
Northshore Smiles, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10303 N Port Washington Rd Ste 103a, Mequon, WI 53092 Phone: 262-240-0405 | |
Brent J Martin Dds Ms Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 W Towne Square Rd, Mequon, WI 53092 Phone: 262-241-3019 Fax: 262-241-3027 | |
East Towne Dental Associated Belgium Family Dental Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11501 N Prot Washington Rd, Mequon, WI 53092 Phone: 262-241-8880 Fax: 262-241-5250 |