Swanson And Associates Family Dentistry, Inc. | |
410 E. Washington St. Slinger WI 53086 | |
(262) 644-6951 | |
(262) 644-6825 |
Full Name | Swanson And Associates Family Dentistry, Inc. |
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Speciality | Dentist - General Practice |
Location | 410 E. Washington St., Slinger, Wisconsin |
Authorized Official Name and Position | Brian Christopher Swanson (DENTIST/OWNER) |
Authorized Official Contact | 2626446951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Swanson And Associates Family Dentistry, Inc. P.o. Box 379 410 E. Washington St. Slinger WI 53086 Ph: (262) 644-6951 | Swanson And Associates Family Dentistry, Inc. 410 E. Washington St. Slinger WI 53086 Ph: (262) 644-6951 |
NPI Number | 1407923915 |
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Provider Enumeration Date | 11/29/2006 |
Last Update Date | 06/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407923915 | NPI | - | NPPES |
38395700 | Other | WI | MEDICAID GROUP PROVIDER |
3137 | Other | WI | DELTA |
33451600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3137 (Wisconsin) | Secondary |
1223G0001X | Dentist - General Practice | 6881-15 (Wisconsin) | Primary |
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Slinger Family Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 E Washington St, Slinger, WI 53086 Phone: 262-644-6921 Fax: 262-644-6926 |