Advanced Dental Specialists, LLC

NPI #1982352878 in Franklin, Wisconsin

Provider Information

NPI Number: 1982352878
Entity Type: Organization
Organization Name: Advanced Dental Specialists, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ADVANCED DENTAL SPECIALISTS, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 10, 2022
Last Updated: Mar 10, 2022

Practice Location

Address: 9130 W LOOMIS RD
City: Franklin
State: Wisconsin
ZIP Code: 53132-8888
Phone: (414) 209-0337

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

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

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