Premier Periodontics LLC
NPI #1770911976 in Greenfield, Wisconsin
Provider Information
- NPI Number
- 1770911976
- Entity Type
- Organization
- Organization Name
- Premier Periodontics LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STEPPING STONE DENTAL PARTNERS LLC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- Oct 24, 2013
- Last Updated
- Oct 24, 2013
Practice Location
- Address
- 2933 W LAYTON AVE
- City
- Greenfield
- State
- Wisconsin
- ZIP Code
- 53221-2626
- Phone
- (414) 282-2642
Authorized Official
- Name
- GENEVIEVE E POPPE
- Title
- PARTNER
- Phone
- (608) 358-3370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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