| Whitehall Dental Center Llc | |
|
36220 Tower Dr Whitehall WI 54773-8524 | |
| (715) 538-1800 | |
| Not Available |
| Full Name | Whitehall Dental Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 36220 Tower Dr, Whitehall, Wisconsin |
| Authorized Official Name and Position | Aaron Bushong (OWNER) |
| Authorized Official Contact | 7155733546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Whitehall Dental Center Llc 36220 Tower Dr Whitehall WI 54773-8524 Ph: (715) 538-1800 | Whitehall Dental Center Llc 36220 Tower Dr Whitehall WI 54773-8524 Ph: (715) 538-1800 |
| NPI Number | 1578215174 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578215174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |