| Silver Creek Dentistry Llc | |
|
1209 W Fond Du Lac St Ripon WI 54971-9289 | |
| (920) 748-7200 | |
| (920) 748-7435 |
| Full Name | Silver Creek Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 1209 W Fond Du Lac St, Ripon, Wisconsin |
| Authorized Official Name and Position | Christopher Johnson (DOCTOR/PROVIDER) |
| Authorized Official Contact | 9207487200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Creek Dentistry Llc 1209 W Fond Du Lac St Ripon WI 54971-9289 Ph: (920) 748-7200 | Silver Creek Dentistry Llc 1209 W Fond Du Lac St Ripon WI 54971-9289 Ph: (920) 748-7200 |
| NPI Number | 1053857508 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 01/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053857508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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