Village Family Dental Asscociates | |
1209 Mills St Black Earth WI 53515-9420 | |
(608) 767-3604 | |
(608) 767-3606 |
Full Name | Village Family Dental Asscociates |
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Speciality | Dentist - General Practice |
Location | 1209 Mills St, Black Earth, Wisconsin |
Authorized Official Name and Position | Michael F Peeples (PRESIDENT OF CORPORATION) |
Authorized Official Contact | 6086438505 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Village Family Dental Asscociates 1209 Mills St Black Earth WI 53515-9420 Ph: (608) 767-3604 | Village Family Dental Asscociates 1209 Mills St Black Earth WI 53515-9420 Ph: (608) 767-3604 |
NPI Number | 1174500813 |
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Provider Enumeration Date | 12/23/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1174500813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |