| Progressive Periodonitics And Dental Implants | |
|
8405 W Forest Home Ave Suite 203 Greenfield WI 53228-3407 | |
| (414) 425-7710 | |
| (414) 425-7424 |
| Full Name | Progressive Periodonitics And Dental Implants |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 8405 W Forest Home Ave, Greenfield, Wisconsin |
| Authorized Official Name and Position | Timothy J Mcnamara (PRESIDENT) |
| Authorized Official Contact | 4144257710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Periodonitics And Dental Implants 8405 W Forest Home Ave Suite 203 Greenfield WI 53228-3407 Ph: (414) 425-7710 | Progressive Periodonitics And Dental Implants 8405 W Forest Home Ave Suite 203 Greenfield WI 53228-3407 Ph: (414) 425-7710 |
| NPI Number | 1962553834 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962553834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 2918 (Wisconsin) | Primary |
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