Park Avenue Dental | |
777 Park Avenue Chippewa Falls WI 54729 | |
(715) 723-0367 | |
Not Available |
Full Name | Park Avenue Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 777 Park Avenue, Chippewa Falls, Wisconsin |
Authorized Official Name and Position | Jeffrey Michael Clark (DENTIST) |
Authorized Official Contact | 7157230367 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Park Avenue Dental 777 Park Avenue Chippewa Falls WI 54729 Ph: (715) 723-0367 | Park Avenue Dental 777 Park Avenue Chippewa Falls WI 54729 Ph: (715) 723-0367 |
NPI Number | 1689811853 |
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Provider Enumeration Date | 01/09/2009 |
Last Update Date | 01/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689811853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6137015 (Wisconsin) | Primary |
News Archive
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› Verified 9 days ago
Dental Health Care Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 E Grand Ave, Chippewa Falls, WI 54729 Phone: 715-723-6800 | |
Park Avenue Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 E Park Ave, Chippewa Falls, WI 54729 Phone: 715-723-0366 Fax: 715-723-4635 | |
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