Dcp of Southridge Shopping Center, LLC

NPI #1568435253 in Greenfield, Wisconsin

Provider Information

NPI Number
1568435253
Entity Type
Organization
Organization Name
Dcp of Southridge Shopping Center, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
DENTALONE PARTNERS, INC
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 11, 2006
Last Updated
Mar 19, 2018

Practice Location

Address
7995 W LAYTON AVE
ZIP Code
53220-3710
Phone
(414) 282-6583

Authorized Official

Name
MS. RACHEL NITTINGER
Title
CREDENTIALING SPECIALIST
Phone
(972) 755-0816

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry
Dentist - PeriodonticsPeriodontics
Dentist - ProsthodonticsProsthodontics
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics
Dentist
Dentist - EndodonticsEndodontics
Dentist - General PracticeGeneral Practice

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