| Park Dental | |
|
705 Rivard St Suite 1 Somerset WI 54025-7455 | |
| (715) 247-3318 | |
| (715) 247-2407 |
| Full Name | Park Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 705 Rivard St, Somerset, Wisconsin |
| Authorized Official Name and Position | John Gulon (PRESIDENT) |
| Authorized Official Contact | 6516330500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental 2200 County Road C W Suite 2210 Roseville MN 55113-2550 Ph: (651) 633-0500 | Park Dental 705 Rivard St Suite 1 Somerset WI 54025-7455 Ph: (715) 247-3318 |
| NPI Number | 1952730459 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952730459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Apple River Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Rivard St, Somerset, WI 54025 Phone: 715-247-3318 Fax: 715-247-2407 |