| Wihlm Dental, Llc | |
|
2530 W 9th Ave Oshkosh WI 54904-8125 | |
| (920) 231-0060 | |
| Not Available |
| Full Name | Wihlm Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2530 W 9th Ave, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Michelle A. Wihlm (DENTIST) |
| Authorized Official Contact | 9202310060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wihlm Dental, Llc 2530 W 9th Ave Oshkosh WI 54904-8125 Ph: (920) 231-0060 | Wihlm Dental, Llc 2530 W 9th Ave Oshkosh WI 54904-8125 Ph: (920) 231-0060 |
| NPI Number | 1871763920 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 12/13/2016 |
| Medicare PECOS PAC ID | 8628405263 |
|---|---|
| Medicare Enrollment ID | O20220105001857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871763920 | NPI | - | NPPES |
| 33818100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6146 (Wisconsin) | Primary |
| Provider Name | Ruth A Marx |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164458089 PECOS PAC ID: 1658679659 Enrollment ID: I20200220003093 |
| Provider Name | Michelle A Wihlm |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1679771570 PECOS PAC ID: 5092031807 Enrollment ID: I20210208002150 |
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