| Stanley Hometown Dentistry | |
|
120 W 4th Ave Stanley WI 54768-1002 | |
| (715) 644-3601 | |
| (715) 644-3687 |
| Full Name | Stanley Hometown Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 120 W 4th Ave, Stanley, Wisconsin |
| Authorized Official Name and Position | James Gunelson (OWNER) |
| Authorized Official Contact | 7156443601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Hometown Dentistry 120 W 4th Ave Stanley WI 54768-1002 Ph: (715) 644-3601 | Stanley Hometown Dentistry 120 W 4th Ave Stanley WI 54768-1002 Ph: (715) 644-3601 |
| NPI Number | 1861865644 |
|---|---|
| Provider Enumeration Date | 11/03/2015 |
| Last Update Date | 11/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861865644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6399015 (Wisconsin) | Primary |
Dental Health Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 642 N Emery St, Stanley, WI 54768 Phone: 715-644-5111 Fax: 715-644-5032 |