Quirt Family Dentistry, Sc
NPI #1891117495 in Pleasant Prairie, Wisconsin
Provider Information
- NPI Number
- 1891117495
- 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
- Jan 16, 2014
- Last Updated
- Jan 16, 2014
Practice Location
- Address
- 10288 77TH ST
- Address 2
- SUITE 300
- City
- Pleasant Prairie
- State
- Wisconsin
- ZIP Code
- 53158-1142
- Phone
- (262) 612-3325
Authorized Official
- Name
- LINDSAY BEARDEN
- Title
- INSURANCE/CREDENTIALING
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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