Full Name | Glacier Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 1840 Evans St, Oshkosh, Wisconsin |
Authorized Official Name and Position | Wyn Steckbauer (DENTIST) |
Authorized Official Contact | 9202353251 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Glacier Dental 1840 Evans Street Oshkosh WI 54902-2362 Ph: (920) 235-3251 | Glacier Dental 1840 Evans St Oshkosh WI 54901-2362 Ph: (920) 235-3251 |
NPI Number | 1649498528 |
---|---|
Provider Enumeration Date | 04/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649498528 | NPI | - | NPPES |
1841391109 | Other | WI | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5396 (Wisconsin) | Primary |
News Archive
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› Verified 9 days ago
Lawrence A Johnson Dds Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 West Pointe Drive, Oshkosh, WI 54902 Phone: 920-233-2222 Fax: 920-233-2263 | |
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