Valley Periodontics, S.c. | |
2535 Norther Road Appleton WI 54914 | |
(920) 731-3224 | |
(920) 731-2910 |
Full Name | Valley Periodontics, S.c. |
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Speciality | Dentist - Periodontics |
Location | 2535 Norther Road, Appleton, Wisconsin |
Authorized Official Name and Position | S. Timothy Rose (PRESIDENT) |
Authorized Official Contact | 9207313224 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Valley Periodontics, S.c. 2535 Norther Road Appleton WI 54914 Ph: (920) 731-3224 | Valley Periodontics, S.c. 2535 Norther Road Appleton WI 54914 Ph: (920) 731-3224 |
NPI Number | 1821156241 |
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Provider Enumeration Date | 12/05/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821156241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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