Deerwood Orthodontics, LLC
NPI #1720118987 in Menomonee Falls, Wisconsin
Provider Information
- NPI Number
- 1720118987
- 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 6, 2007
- Last Updated
- Mar 14, 2022
Practice Location
- Address
- N80W17707 CUSTER LN
- City
- Menomonee Falls
- State
- Wisconsin
- ZIP Code
- 53051-3630
- Phone
- (262) 502-0605
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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| DR. Kelley Marie Dentino, D.M.D. |  AI Deep Dive |
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| DR. Jeffrey Louis Straub, DDS | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Thomas Orthodontics, Sc | AI Deep Dive |
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