Advanced Dental Specialists, LLC
NPI #1417605312 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1417605312
- 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
- 6218 WASHINGTON AVE STE C
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-3916
- Phone
- (262) 465-4232
Authorized Official
- Name
- CELIA HAYES
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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