Baycare Clinic, LLP

NPI #1124516893 in Sturgeon Bay, Wisconsin

Provider Information

NPI Number
1124516893
Entity Type
Organization
Organization Name
Baycare Clinic, LLP
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Apr 27, 2018
Last Updated
Mar 31, 2022

Practice Location

Address
636 N 12TH AVE
ZIP Code
54235-1249
Phone
(920) 743-2001

Authorized Official

Name
NICOLE HETTMANN
Title
PROVIDER CREDENTIALING COORDINATOR
Phone
(920) 490-9046

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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