Sherwood Dental S.c. | |
North 275 Military Rd. Sherwood WI 54169 | |
(920) 989-1103 | |
Not Available |
Full Name | Sherwood Dental S.c. |
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Speciality | Dentist |
Location | North 275 Military Rd., Sherwood, Wisconsin |
Authorized Official Name and Position | Sidney B. Schulz (OWNER) |
Authorized Official Contact | 9209891103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sherwood Dental S.c. North 275 Military Rd. Sherwood WI 54169 Ph: (920) 989-1103 | Sherwood Dental S.c. North 275 Military Rd. Sherwood WI 54169 Ph: (920) 989-1103 |
NPI Number | 1487770467 |
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Provider Enumeration Date | 03/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487770467 | NPI | - | NPPES |
33498300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | WI3822-015 (Wisconsin) | Primary |