Applewhite Dental Wisconsin, P.c.

NPI #1285288464 in Waunakee, Wisconsin

Provider Information

NPI Number: 1285288464
Entity Type: Organization
Organization Name: Applewhite Dental Wisconsin, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: APPLEWHITE DENTAL WISCONSIN, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 26, 2019
Last Updated: Jul 29, 2019

Practice Location

Address: 1125 STEPHENSON LN
City: Waunakee
State: Wisconsin
ZIP Code: 53597-2516
Phone: (608) 849-4424

Authorized Official

Name: SHARON L LOSO
Title: CREDENTIALING SPECIALIST
Phone: (563) 582-1448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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