Deerwood Orthodontics, LLC
NPI #1760130264 in Sun Prairie, Wisconsin
Provider Information
- NPI Number
- 1760130264
- 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
- 100 WILBURN RD STE 203
- City
- Sun Prairie
- State
- Wisconsin
- ZIP Code
- 53590-1478
- Phone
- (608) 837-7901
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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