Johnson Creek Dental
NPI #1225124571 in Johnson Creek, Wisconsin
Provider Information
- NPI Number
- 1225124571
- Entity Type
- Organization
- Organization Name
- Johnson Creek Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 540 VILLAGE WALK LANE
- Address 2
- SUITE E
- City
- Johnson Creek
- State
- Wisconsin
- ZIP Code
- 53038
- Phone
- (920) 699-2554
Authorized Official
- Name
- JOHATHON J MELK, DDS
- Title
- DENTIST
- Phone
- (920) 690-2554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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