| Paul R Sommers Dds Sc | |
|
121 Oakridge Court Watertown WI 53094 | |
| (920) 261-5110 | |
| (920) 261-5735 |
| Full Name | Paul R Sommers Dds Sc |
|---|---|
| Speciality | Dentist |
| Location | 121 Oakridge Court, Watertown, Wisconsin |
| Authorized Official Name and Position | Paul Richard Sommers (PRESIDENT) |
| Authorized Official Contact | 9202615110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul R Sommers Dds Sc 121 Oakridge Court Watertown WI 53094 Ph: (920) 261-5110 | Paul R Sommers Dds Sc 121 Oakridge Court Watertown WI 53094 Ph: (920) 261-5110 |
| NPI Number | 1114085412 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114085412 | NPI | - | NPPES |
| 33386400 | Other | MEDICAL ASSISTANCE BADGER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2297 (Wisconsin) | Primary |
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