| Smile Clinic, S.c. | |
|
1602 N 18th St Manitowoc WI 54220-1858 | |
| (920) 682-9131 | |
| (920) 682-9799 |
| Full Name | Smile Clinic, S.c. |
|---|---|
| Speciality | Dentist |
| Location | 1602 N 18th St, Manitowoc, Wisconsin |
| Authorized Official Name and Position | Scott Martin Behringer (OWNER) |
| Authorized Official Contact | 9206829131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Clinic, S.c. 1602 N 18th St Manitowoc WI 54220-1858 Ph: (920) 682-9131 | Smile Clinic, S.c. 1602 N 18th St Manitowoc WI 54220-1858 Ph: (920) 682-9131 |
| NPI Number | 1598878142 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598878142 | NPI | - | NPPES |
| 840836W | Other | WI | UNITED CONCORDIA |
| 1788 | Other | WI | DELTA DENTAL |
| 389569136002 | Other | WI | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1788 (Wisconsin) | Primary |
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