| Platteville Dental Llc | |
|
1270 N Water St Platteville WI 53818-1450 | |
| (608) 348-2393 | |
| (608) 348-4430 |
| Full Name | Platteville Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1270 N Water St, Platteville, Wisconsin |
| Authorized Official Name and Position | Amanda Jacquinot (BUSINESS MANAGER) |
| Authorized Official Contact | 6088527298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Platteville Dental Llc 1270 N Water St Platteville WI 53818-1450 Ph: (608) 348-2393 | Platteville Dental Llc 1270 N Water St Platteville WI 53818-1450 Ph: (608) 348-2393 |
| NPI Number | 1255573184 |
|---|---|
| Provider Enumeration Date | 03/24/2009 |
| Last Update Date | 03/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255573184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6103 (Wisconsin) | Primary |
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Platteville Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 N Water St, Platteville, WI 53818 Phone: 608-348-2393 Fax: 608-348-5072 | |
Platteville Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1270 N Water St, Platteville, WI 53818 Phone: 608-348-2393 |