| Omalley Dentistry Sc | |
|
8555 W Forest Hm Ave Suite 101 Greenfield WI 53228 | |
| (414) 425-4005 | |
| (414) 529-9777 |
| Full Name | Omalley Dentistry Sc |
|---|---|
| Speciality | Dentist |
| Location | 8555 W Forest Hm Ave, Greenfield, Wisconsin |
| Authorized Official Name and Position | Glen Martin Omalley (DENTIST OWNER) |
| Authorized Official Contact | 4144254005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omalley Dentistry Sc 8555 W Forest Hm Ave Suite 101 Greenfield WI 53228 Ph: (414) 425-4005 | Omalley Dentistry Sc 8555 W Forest Hm Ave Suite 101 Greenfield WI 53228 Ph: (414) 425-4005 |
| NPI Number | 1750468732 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750468732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3802 (Wisconsin) | Primary |
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