| Pardeeville Family Dentistry Llc | |
|
403 W. Chestnut St. Pardeeville WI 53954 | |
| (608) 429-3175 | |
| (608) 429-3776 |
| Full Name | Pardeeville Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 403 W. Chestnut St., Pardeeville, Wisconsin |
| Authorized Official Name and Position | Virginia G Scott (OWNER) |
| Authorized Official Contact | 6084293175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pardeeville Family Dentistry Llc 403 W. Chestnut St. P.o. Box 127 Pardeeville WI 53954-0127 Ph: (608) 429-3175 | Pardeeville Family Dentistry Llc 403 W. Chestnut St. Pardeeville WI 53954 Ph: (608) 429-3175 |
| NPI Number | 1407976830 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407976830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4505 (Wisconsin) | Primary |