| The Dentist | |
|
134 S 4th St Delavan WI 53115-1802 | |
| (262) 728-9330 | |
| Not Available |
| Full Name | The Dentist |
|---|---|
| Speciality | Dentist |
| Location | 134 S 4th St, Delavan, Wisconsin |
| Authorized Official Name and Position | Benjamin S Johnson (PRESIDENT/DENTIST) |
| Authorized Official Contact | 2627289330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dentist 134 S 4th St Delavan WI 53115-1802 Ph: (262) 728-9330 | The Dentist 134 S 4th St Delavan WI 53115-1802 Ph: (262) 728-9330 |
| NPI Number | 1285067272 |
|---|---|
| Provider Enumeration Date | 08/14/2013 |
| Last Update Date | 08/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285067272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6240-15 (Wisconsin) | Primary |
Delevan Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1624 Hobbs Dr, Suite 2, Delavan, WI 53115 Phone: 262-740-1010 | |
Complete Family Dentistry, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Phoenix St, Delavan, WI 53115 Phone: 262-728-6437 | |
Delavan Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 E Walworth Ave, Delavan, WI 53115 Phone: 262-728-9117 |