Kenosha Dentist Llc | |
5455 Sheridan Rd Ste 201 Kenosha WI 53140-3752 | |
(262) 244-0700 | |
Not Available |
Full Name | Kenosha Dentist Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 5455 Sheridan Rd Ste 201, Kenosha, Wisconsin |
Authorized Official Name and Position | Dominic Kaczynski (BUSINESS MANAGER) |
Authorized Official Contact | 2622440700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kenosha Dentist Llc 5455 Sheridan Rd Ste 201 Kenosha WI 53140-3752 Ph: () - | Kenosha Dentist Llc 5455 Sheridan Rd Ste 201 Kenosha WI 53140-3752 Ph: (262) 244-0700 |
NPI Number | 1205364197 |
---|---|
Provider Enumeration Date | 05/23/2017 |
Last Update Date | 05/23/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205364197 | NPI | - | NPPES |
1699101477 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Riley & Armstrong D.d.s., S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7910 39th Ave, Kenosha, WI 53142 Phone: 262-694-7672 Fax: 262-694-7110 | |
Dentacare Kenosha Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6521 Green Bay Rd, Kenosha, WI 53142 Phone: 414-306-6420 Fax: 877-335-3684 | |
Frantal Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7601 Pershing Blvd, Kenosha, WI 53142 Phone: 262-694-1100 Fax: 262-694-1103 | |
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Dental Care Of Kenosha Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Washington Rd, Kenosha, WI 53144 Phone: 262-237-6238 | |
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