Potrykus Family Dentistry Llc | |
213 N Railroad St Eagle River WI 54521 | |
(715) 479-4686 | |
(715) 479-5281 |
Full Name | Potrykus Family Dentistry Llc |
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Speciality | Dentist - General Practice |
Location | 213 N Railroad St, Eagle River, Wisconsin |
Authorized Official Name and Position | Neal Alan Potrykus (PRESIDENT DOCTOR) |
Authorized Official Contact | 7154794686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Potrykus Family Dentistry Llc 213 N Railroad Street Po Box 1075 Eagle River WI 54521 Ph: (715) 479-4686 | Potrykus Family Dentistry Llc 213 N Railroad St Eagle River WI 54521 Ph: (715) 479-4686 |
NPI Number | 1396870432 |
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Provider Enumeration Date | 02/22/2007 |
Last Update Date | 07/13/2016 |
Identifier | Type | State | Issuer |
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1396870432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | WI3315 (Wisconsin) | Primary |
Northwoods Dental Sleep Therapy Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 865 N Railroad St, Eagle River, WI 54521 Phone: 715-479-6100 | |
Gremban & Gremban Dental S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 865 N Railroad St, Eagle River, WI 54521 Phone: 715-479-6100 Fax: 715-477-2162 |