| Winneconne Family Dentistry | |
|
902 E Main St Winneconne WI 54986-9782 | |
| (920) 582-4427 | |
| (920) 582-7563 |
| Full Name | Winneconne Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 902 E Main St, Winneconne, Wisconsin |
| Authorized Official Name and Position | Ryan Joseph Gonzalez (PRESIDENT) |
| Authorized Official Contact | 4142029184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winneconne Family Dentistry 4668 W Woodland Dr Franklin WI 53132-8014 Ph: () - | Winneconne Family Dentistry 902 E Main St Winneconne WI 54986-9782 Ph: (920) 582-4427 |
| NPI Number | 1760728166 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 12/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760728166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5471 (Wisconsin) | Primary |
Winneconne Family Dentistry Acquisition Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 E Main St, Winneconne, WI 54986 Phone: 920-705-1123 | |
Upper Lakes Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 908 E Main St Ste C, Winneconne, WI 54986 Phone: 920-582-0688 |