Smile Clinic, S.c. | |
1602 N 18th St Manitowoc WI 54220-1858 | |
(920) 682-9131 | |
(920) 682-9799 |
Full Name | Smile Clinic, S.c. |
---|---|
Speciality | Dentist |
Location | 1602 N 18th St, Manitowoc, Wisconsin |
Authorized Official Name and Position | Scott Martin Behringer (OWNER) |
Authorized Official Contact | 9206829131 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Smile Clinic, S.c. 1602 N 18th St Manitowoc WI 54220-1858 Ph: (920) 682-9131 | Smile Clinic, S.c. 1602 N 18th St Manitowoc WI 54220-1858 Ph: (920) 682-9131 |
NPI Number | 1598878142 |
---|---|
Provider Enumeration Date | 08/17/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598878142 | NPI | - | NPPES |
840836W | Other | WI | UNITED CONCORDIA |
1788 | Other | WI | DELTA DENTAL |
389569136002 | Other | WI | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1788 (Wisconsin) | Primary |
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