| Timbercreek Smiles | |
|
2550 Glendale Ave Green Bay WI 54313-6849 | |
| (920) 434-3900 | |
| (920) 434-6980 |
| Full Name | Timbercreek Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2550 Glendale Ave, Green Bay, Wisconsin |
| Authorized Official Name and Position | Rebecca P Vanmiller (OWNER) |
| Authorized Official Contact | 9203665068 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timbercreek Smiles 2550 Glendale Ave Green Bay WI 54313-6849 Ph: (920) 434-3900 | Timbercreek Smiles 2550 Glendale Ave Green Bay WI 54313-6849 Ph: (920) 434-3900 |
| NPI Number | 1225525959 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 04/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225525959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 15-5497 (Wisconsin) | Primary |
| 261QD0000X | Clinic/center - Dental | 1001549-15 (Wisconsin) | Secondary |
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