Advanced Dental Specialists, LLC

NPI #1215685110 in Appleton, Wisconsin

Provider Information

NPI Number
1215685110
Entity Type
Organization
Organization Name
Advanced Dental Specialists, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ADVANCED DENTAL SPECIALISTS, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 10, 2022
Last Updated
Mar 10, 2022

Practice Location

Address
3030 N BALLARD RD
ZIP Code
54911-8707
Phone
(414) 543-3301

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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