Dr Karla Marie Poth, DDS is a
Dentist - General Practice based in Fredonia, Wisconsin. Dr Karla Marie Poth is licensed to practice in Wisconsin (license number 4208-015) and her current practice location is
100 Martin Dr, Fredonia, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 692-2461.
NPI number for Dr Karla Marie Poth is 1134267552 and her current mailing address is N7458 County Road J, Plymouth, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134267552.
Healthcare Provider's Profile
Full Name | Dr Karla Marie Poth |
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Gender | Female |
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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. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134267552
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Karla Marie Poth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134267552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 4208-015 (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 Karla Marie 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 Karla Marie Poth, DDS N7458 County Road J, Plymouth, WI 53073-2739 Ph: (414) 333-7480 | Dr Karla Marie Poth, DDS 100 Martin Dr, Fredonia, WI 53021-9455 Ph: (262) 692-2461 |
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