| The Lakes Dental | |
|
1160 Rome Center Dr Nekoosa WI 54457-8705 | |
| (715) 325-7577 | |
| (715) 325-7750 |
| Full Name | The Lakes Dental |
|---|---|
| Speciality | Dentist |
| Location | 1160 Rome Center Dr, Nekoosa, Wisconsin |
| Authorized Official Name and Position | Vanessa M Webb (BUSINESS MANAGER) |
| Authorized Official Contact | 7154233322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lakes Dental 1160 Rome Center Dr Nekoosa WI 54457-8705 Ph: (715) 325-7577 | The Lakes Dental 1160 Rome Center Dr Nekoosa WI 54457-8705 Ph: (715) 325-7577 |
| NPI Number | 1346503844 |
|---|---|
| Provider Enumeration Date | 06/19/2012 |
| Last Update Date | 08/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346503844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5004013 (Wisconsin) | Primary |
Riverview Community Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1160 Rome Center Dr, Nekoosa, WI 54457 Phone: 715-422-7750 Fax: 715-424-9027 |