Quirt Family Dentistry, Sc

NPI #1871869222 in Merrill, Wisconsin

Provider Information

NPI Number: 1871869222
Entity Type: Organization
Organization Name: Quirt Family Dentistry, Sc
Subpart: Yes (part of a larger organization)
Parent Organization: QUIRT FAMILY DENTISTRY, SC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 30, 2012
Last Updated: Mar 30, 2012

Practice Location

Address: 2812 E MAIN ST
City: Merrill
State: Wisconsin
ZIP Code: 54452-3470
Phone: (715) 536-9628

Authorized Official

Name: KIM WILSON
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-5170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Individual Providers

Provider Name	Specialty	City
Matthew Joseph Welch, D.D.S.	Dentist - General Practice	Merrill	AI Deep Dive
Edward Long	Dentist - General Practice	Merrill	AI Deep Dive
DR. Adam Manteuffel, D.D.S.	Dentist - General Practice	Merrill	AI Deep Dive
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Organizations

Provider Name	Specialty	City
Family Dentistry Part of Dan W. Rajek, Dds, Sc	Dentist - General Practice	Merrill	AI Deep Dive

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