| Parkdale Dental Center Llc | |
|
5764 Windy Dr Stevens Point WI 54482-8486 | |
| (715) 341-2220 | |
| Not Available |
| Full Name | Parkdale Dental Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5764 Windy Dr, Stevens Point, Wisconsin |
| Authorized Official Name and Position | Aaron J Bushong (DENTIST/OWNER) |
| Authorized Official Contact | 7155733546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkdale Dental Center Llc 5764 Windy Dr Stevens Point WI 54482-8486 Ph: (715) 341-2220 | Parkdale Dental Center Llc 5764 Windy Dr Stevens Point WI 54482-8486 Ph: (715) 341-2220 |
| NPI Number | 1467028969 |
|---|---|
| Provider Enumeration Date | 06/03/2021 |
| Last Update Date | 06/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467028969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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