| Shumway Dental | |
|
100 E Commerce Blvd Suite B Slinger WI 53086-9748 | |
| (262) 644-7400 | |
| (262) 644-7408 |
| Full Name | Shumway Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 E Commerce Blvd, Slinger, Wisconsin |
| Authorized Official Name and Position | Christopher Bruce Shumway (DENTIST) |
| Authorized Official Contact | 2626447400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shumway Dental 100 E Commerce Blvd Suite B Slinger WI 53086-9748 Ph: (262) 644-7400 | Shumway Dental 100 E Commerce Blvd Suite B Slinger WI 53086-9748 Ph: (262) 644-7400 |
| NPI Number | 1659674562 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 12/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659674562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5724-015 (Wisconsin) | Primary |
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