Cody Ray Bollendorf, DDS | |
24418 75th St, Salem, WI 53168-9703 | |
(262) 843-2004 | |
Not Available |
Full Name | Cody Ray Bollendorf |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 24418 75th St, Salem, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093551327 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6001602-15 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Cody Ray Bollendorf, DDS 24418 75th St, Salem, WI 53168-9703 Ph: (262) 843-2004 | Cody Ray Bollendorf, DDS 24418 75th St, Salem, WI 53168-9703 Ph: (262) 843-2004 |
Dr. Dwight Simmons, DDS Dentist Medicare: Medicare Enrolled Practice Location: 27620 75th St, Suite 3, Salem, WI 53168 Phone: 262-843-1808 | |
Valentin Cuarto Iii, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 27620 75th St, Suite 3, Salem, WI 53168 Phone: 262-843-1808 Fax: 262-843-1908 | |
Matthew Mueller, Dentist Medicare: Not Enrolled in Medicare Practice Location: 7137 236th Ave Ste 108, Salem, WI 53168 Phone: 262-843-4643 | |
Dr. Chadi Farag, Dentist Medicare: Not Enrolled in Medicare Practice Location: 25620 75th Street, Salem, WI 53168 Phone: -- | |
Dr. Jeffrey L Sorensen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 24418 75th St, Salem, WI 53168 Phone: 262-843-2004 Fax: 262-843-2832 | |
Dr. James Charles Fulmer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7137 236th Avenue, Suite 108, Salem, WI 53168 Phone: 262-843-4643 |