Pro Dental Wi 1 Pc | |
1838 S 15th St Milwaukee WI 53204-3225 | |
(414) 455-8805 | |
(414) 455-8812 |
Full Name | Pro Dental Wi 1 Pc |
---|---|
Speciality | Dentist |
Location | 1838 S 15th St, Milwaukee, Wisconsin |
Authorized Official Name and Position | Simone Wilson-adeleke (DIRECTOR OF CREDENTIALING) |
Authorized Official Contact | 7327318398 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pro Dental Wi 1 Pc 10 Woodbridge Center Dr Ste 520 Woodbridge NJ 07095-1152 Ph: (732) 731-8398 | Pro Dental Wi 1 Pc 1838 S 15th St Milwaukee WI 53204-3225 Ph: (414) 455-8805 |
NPI Number | 1013744523 |
---|---|
Provider Enumeration Date | 09/18/2024 |
Last Update Date | 09/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013744523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
Layton Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 W Layton Ave Ste 305, Milwaukee, WI 53207 Phone: 414-539-4005 Fax: 414-539-6007 | |
Doctors' Denture Systems Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 W Lincoln Ave, Milwaukee, WI 53207 Phone: 414-671-5720 Fax: 414-671-5745 |