Mcbride Dental Sc | |
336 Harbor View Dr Fond Du Lac WI 54935 | |
(920) 922-9400 | |
(920) 921-3260 |
Full Name | Mcbride Dental Sc |
---|---|
Speciality | Dentist - General Practice |
Location | 336 Harbor View Dr, Fond Du Lac, Wisconsin |
Authorized Official Name and Position | Timothy M Mcbride (OWNER) |
Authorized Official Contact | 9209229400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mcbride Dental Sc 336 Harbor View Dr Fond Du Lac WI 54935 Ph: (920) 922-9400 | Mcbride Dental Sc 336 Harbor View Dr Fond Du Lac WI 54935 Ph: (920) 922-9400 |
NPI Number | 1073624326 |
---|---|
Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073624326 | NPI | - | NPPES |
33490200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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