| Village Family Dental Associates | |
|
240 W. Jefferson Street Spring Green WI 53588 | |
| (608) 588-2122 | |
| (608) 588-9152 |
| Full Name | Village Family Dental Associates |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 240 W. Jefferson Street, Spring Green, 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 |
|---|---|
| Village Family Dental Associates 240 W. Jefferson Street Spring Green WI 53588 Ph: (608) 588-2122 | Village Family Dental Associates 240 W. Jefferson Street Spring Green WI 53588 Ph: (608) 588-2122 |
| NPI Number | 1073592879 |
|---|---|
| Provider Enumeration Date | 01/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073592879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |