| Terry L. Kippa, Dds And Gordon D. Korthals, Dds | |
|
600 S Main St Oshkosh WI 54902-6074 | |
| (920) 233-8882 | |
| (920) 303-2736 |
| Full Name | Terry L. Kippa, Dds And Gordon D. Korthals, Dds |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 600 S Main St, Oshkosh, Wisconsin |
| Authorized Official Name and Position | Gordon Dean Korthals (CORPORATE PRESIDENT) |
| Authorized Official Contact | 9202338882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry L. Kippa, Dds And Gordon D. Korthals, Dds 600 S Main St Oshkosh WI 54902-6074 Ph: (920) 233-8882 | Terry L. Kippa, Dds And Gordon D. Korthals, Dds 600 S Main St Oshkosh WI 54902-6074 Ph: (920) 233-8882 |
| NPI Number | 1487812855 |
|---|---|
| Provider Enumeration Date | 06/01/2008 |
| Last Update Date | 06/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487812855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 4375-015 (Wisconsin) | Primary |
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› Verified 6 days ago
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