Gregg R Dickinson DDS Sc

NPI #1205955036 in Janesville, Wisconsin

Provider Information

NPI Number: 1205955036
Entity Type: Organization
Organization Name: Gregg R Dickinson DDS Sc
Primary Specialty: Dentist
Enumeration Date: Mar 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2726 WOODLANE DR
City: Janesville
State: Wisconsin
ZIP Code: 53545
Phone: (608) 756-3149

Authorized Official

Name: DR. GREGG R DICKINSON, DDS
Title: PRESIDENT
Phone: (608) 756-3149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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