Deerwood Orthodontics Appleton | |
3030 N Ballard Rd Appleton WI 54911-8707 | |
(920) 954-9153 | |
(920) 954-9080 |
Full Name | Deerwood Orthodontics Appleton |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3030 N Ballard Rd, Appleton, Wisconsin |
Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175402100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deerwood Orthodontics Appleton 3030 N Ballard Rd Appleton WI 54911-8707 Ph: (920) 954-9153 | Deerwood Orthodontics Appleton 3030 N Ballard Rd Appleton WI 54911-8707 Ph: (920) 954-9153 |
NPI Number | 1033249289 |
---|---|
Provider Enumeration Date | 03/06/2007 |
Last Update Date | 03/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033249289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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