Deerwood Orthodontics, LLC

NPI #1033249289 in Appleton, Wisconsin

Provider Information

NPI Number
1033249289
Entity Type
Organization
Organization Name
Deerwood Orthodontics, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
DEERWOOD ORTHODONTICS, LLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Mar 6, 2007
Last Updated
Mar 14, 2022

Practice Location

Address
3030 N BALLARD RD
ZIP Code
54911-8707
Phone
(920) 954-9153

Authorized Official

Name
CELIA HAYES
Title
CREDENTIALING COORDINATOR
Phone
(217) 540-2100

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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