Dental Health Professionals of Wisconsin, S.c.
NPI #1417549544 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1417549544
- Entity Type
- Organization
- Organization Name
- Dental Health Professionals of Wisconsin, S.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL HEALTH PROFESSIONALS OF WISCONSIN, S.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 10, 2021
- Last Updated
- Sep 18, 2023
Practice Location
- Address
- 4445 TAYLOR AVE STE 1
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53405-4642
- Phone
- (262) 554-1600
Authorized Official
- Name
- HANNAH FISH
- Title
- CREDENTIALING MANAGER
- Phone
- (217) 540-5699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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