Thomas H Reitz Dds Sc | |
1007 N Main St Edgerton WI 53534 | |
(608) 884-3358 | |
(608) 884-4917 |
Full Name | Thomas H Reitz Dds Sc |
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Speciality | Dentist - General Practice |
Location | 1007 N Main St, Edgerton, Wisconsin |
Authorized Official Name and Position | Debra J Reitz (VICE PRESIDENT) |
Authorized Official Contact | 6088843358 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Thomas H Reitz Dds Sc 1007 N Main St Edgerton WI 53534 Ph: (608) 884-3358 | Thomas H Reitz Dds Sc 1007 N Main St Edgerton WI 53534 Ph: (608) 884-3358 |
NPI Number | 1841301181 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841301181 | NPI | - | NPPES |
33683700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3953 015 (Wisconsin) | Primary |