| Reilly Family Dental Llc | |
|
1018 King Rd Tomahawk WI 54487 | |
| (715) 453-7071 | |
| (715) 453-9461 |
| Full Name | Reilly Family Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 1018 King Rd, Tomahawk, Wisconsin |
| Authorized Official Name and Position | Dewey Irving Reilly (DENTIST OWNER) |
| Authorized Official Contact | 7154537071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reilly Family Dental Llc Po Box 287 Tomahawk WI 54487 Ph: (715) 453-7071 | Reilly Family Dental Llc 1018 King Rd Tomahawk WI 54487 Ph: (715) 453-7071 |
| NPI Number | 1063615342 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063615342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5001190015 (Wisconsin) | Secondary |
| 122300000X | Dentist | 6009015 (Wisconsin) | Secondary |
| 122300000X | Dentist | 5005793 (Wisconsin) | Primary |
Dean R. Hussong, Dds, Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Bradley Farm Rd, Tomahawk, WI 54487 Phone: 715-453-5321 | |
Tomahawk Family Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Bradley Farm Rd, Tomahawk, WI 54487 Phone: 715-453-5321 |