Deerwood Orthodontics, LLC
NPI #1700534294 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1700534294
- Entity Type
- Organization
- Organization Name
- Deerwood Orthodontics, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DEERWOOD ORTHODONTICS, LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Mar 14, 2022
- Last Updated
- Mar 14, 2022
Practice Location
- Address
- 1532 S GREEN BAY RD STE 100
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53406-4468
- Phone
- (262) 632-3300
Authorized Official
- Name
- CELIA HAYES
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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