| Waite Family Dental, Llc | |
|
580 Kase St Platteville WI 53818-1814 | |
| (608) 348-3031 | |
| (608) 348-9739 |
| Full Name | Waite Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 580 Kase St, Platteville, Wisconsin |
| Authorized Official Name and Position | Jan M Waite (GENERAL DENTIST) |
| Authorized Official Contact | 6083483031 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waite Family Dental, Llc 580 Kase St P.o. Box 255 Platteville WI 53818-1814 Ph: (608) 348-3031 | Waite Family Dental, Llc 580 Kase St Platteville WI 53818-1814 Ph: (608) 348-3031 |
| NPI Number | 1528195377 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528195377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4104 (Wisconsin) | Primary |
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