Family Dental of South Sheboygan

NPI #1477993673 in Sheboygan, Wisconsin

Provider Information

NPI Number
1477993673
Entity Type
Organization
Organization Name
Family Dental of South Sheboygan
Subpart
Yes (part of a larger organization)
Parent Organization
QUIRT FAMILY DENTISTRY, SC
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 2, 2013
Last Updated
Jul 2, 2013

Practice Location

Address
3555 WASHINGTON AVE
ZIP Code
53081
Phone
(920) 395-4819

Authorized Official

Name
LINDSAY BEARDEN
Title
CREDENTIALING
Phone
(217) 540-5100

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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