Dr J Dennis Connor, DDS is a medicare enrolled "Dentist" provider in Kewaskum, Wisconsin. His current practice location is
1204 Fond Du Lac Ave, Kewaskum, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 626-2119.
Dr J Dennis Connor is licensed to practice in Wisconsin (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891801957.
Healthcare Provider's Profile
Full Name | Dr J Dennis Connor |
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Gender | Male |
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Speciality | Dentist |
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Location | 1204 Fond Du Lac Ave, Kewaskum, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891801957
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9032430335
- Enrollment ID: I20150611000442
Medical Identifiers
Medical identifiers for Dr J Dennis Connor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891801957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr J Dennis Connor is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr J Dennis Connor, DDS Po Box 66, Kewaskum, WI 53040-0066 Ph: (262) 626-2119 | Dr J Dennis Connor, DDS 1204 Fond Du Lac Ave, Kewaskum, WI 53040-8954 Ph: (262) 626-2119 |
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