Quirt Family Dentistry

NPI #1952868325 in Oshkosh, Wisconsin

Provider Information

NPI Number: 1952868325
Entity Type: Organization
Organization Name: Quirt Family Dentistry
Subpart: Yes (part of a larger organization)
Parent Organization: QUIRT FAMILY DENTISTRY
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 21, 2019
Last Updated: Feb 21, 2019

Practice Location

Address: 1460 W SOUTH PARK AVE
City: Oshkosh
State: Wisconsin
ZIP Code: 54902-6677
Phone: (920) 303-1803

Authorized Official

Name: TABATHA LEMKE
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-6078

Specialties & Taxonomy Codes

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

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