| Shawano Family Dentistry | |
|
115 Alpine Ct Shawano WI 54166-2048 | |
| (715) 524-4935 | |
| Not Available |
| Full Name | Shawano Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 Alpine Ct, Shawano, Wisconsin |
| Authorized Official Name and Position | Rebecca Marie Stevens (OWNER) |
| Authorized Official Contact | 2628657293 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawano Family Dentistry 115 Alpine Ct Shawano WI 54166-2048 Ph: (715) 524-4935 | Shawano Family Dentistry 115 Alpine Ct Shawano WI 54166-2048 Ph: (715) 524-4935 |
| NPI Number | 1669128260 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669128260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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