Sleep Well Dental, Llc | |
207 S. University Avenue Beaver Dam WI 53916-2450 | |
(920) 887-8079 | |
(920) 887-1203 |
Full Name | Sleep Well Dental, Llc |
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Speciality | Dentist |
Location | 207 S. University Avenue, Beaver Dam, Wisconsin |
Authorized Official Name and Position | John Nicholas Stellpflug (OWNER/DENTIST) |
Authorized Official Contact | 9208878079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sleep Well Dental, Llc P.o. Box 675 Beaver Dam WI 53916-2450 Ph: (920) 887-8079 | Sleep Well Dental, Llc 207 S. University Avenue Beaver Dam WI 53916-2450 Ph: (920) 887-8079 |
NPI Number | 1841571973 |
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Provider Enumeration Date | 09/02/2011 |
Last Update Date | 09/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841571973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1352G (Wisconsin) | Primary |
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