Oshkosh Complete Dentistry Llc | |
1013 N Main St Oshkosh WI 54901-3837 | |
(920) 428-5416 | |
Not Available |
Full Name | Oshkosh Complete Dentistry Llc |
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Speciality | Clinic/center - Dental |
Location | 1013 N Main St, Oshkosh, Wisconsin |
Authorized Official Name and Position | Robert Heil (PRESIDENT) |
Authorized Official Contact | 9204285416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oshkosh Complete Dentistry Llc 623 E Tallgrass Dr Appleton WI 54913-7505 Ph: (920) 428-5416 | Oshkosh Complete Dentistry Llc 1013 N Main St Oshkosh WI 54901-3837 Ph: (920) 428-5416 |
NPI Number | 1447869789 |
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Provider Enumeration Date | 07/22/2020 |
Last Update Date | 01/07/2022 |
Identifier | Type | State | Issuer |
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1447869789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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