| Southwest Dental Associates, S.c. | |
|
1208 Joseph Street Dodgeville WI 53533 | |
| (608) 935-7700 | |
| Not Available |
| Full Name | Southwest Dental Associates, S.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1208 Joseph Street, Dodgeville, Wisconsin |
| Authorized Official Name and Position | Michael C Fisher (OWNER) |
| Authorized Official Contact | 6089357700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Dental Associates, S.c. 1208 Joseph Street Dodgeville WI 53533 Ph: (608) 935-7700 | Southwest Dental Associates, S.c. 1208 Joseph Street Dodgeville WI 53533 Ph: (608) 935-7700 |
| NPI Number | 1134253420 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134253420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4191 (Wisconsin) | Primary |
Dodgeville Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 N Bequette St, Dodgeville, WI 53533 Phone: 608-935-5262 Fax: 608-930-5265 |