| Northwoods Dentistry, S.c. | |
|
605 Peterson Dr Phillips WI 54555-1430 | |
| (715) 339-3021 | |
| (715) 339-3022 |
| Full Name | Northwoods Dentistry, S.c. |
|---|---|
| Speciality | Dentist |
| Location | 605 Peterson Dr, Phillips, Wisconsin |
| Authorized Official Name and Position | Jennifer Staroba (OFFICE MANAGER) |
| Authorized Official Contact | 7153393021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwoods Dentistry, S.c. Po Box 10 Phillips WI 54555-0010 Ph: (715) 339-3021 | Northwoods Dentistry, S.c. 605 Peterson Dr Phillips WI 54555-1430 Ph: (715) 339-3021 |
| NPI Number | 1063859114 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 05/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063859114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6619 (Wisconsin) | Primary |