Dr John Everett Poth, DDS is a
Dentist - General Practice based in Fredonia, Wisconsin. Dr John Everett Poth is licensed to practice in Wisconsin (license number 4245-015) and his current practice location is
100 Martin Dr, Fredonia, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(262) 692-2461.
NPI number for Dr John Everett Poth is 1285772608 and his current mailing address is N7458 County Road J, Plymouth, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285772608.
Healthcare Provider's Profile
Full Name | Dr John Everett Poth |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 100 Martin Dr, Fredonia, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285772608
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr John Everett Poth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285772608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 4245-015 (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 John Everett Poth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr John Everett Poth, DDS N7458 County Road J, Plymouth, WI 53073-2739 Ph: (414) 333-1785 | Dr John Everett Poth, DDS 100 Martin Dr, Fredonia, WI 53021-9455 Ph: (262) 692-2461 |
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