Webster Dental Associates, S.c. | |
2121 S Webster Ave Suite 1 Green Bay WI 54301-2290 | |
(920) 435-1998 | |
(920) 435-1399 |
Full Name | Webster Dental Associates, S.c. |
---|---|
Speciality | Dentist |
Location | 2121 S Webster Ave, Green Bay, Wisconsin |
Authorized Official Name and Position | Curtis Jon Hendrickson (PRESIDENT) |
Authorized Official Contact | 9204351998 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Webster Dental Associates, S.c. 2121 S Webster Ave Suite 1 Green Bay WI 54301-2290 Ph: (920) 435-1998 | Webster Dental Associates, S.c. 2121 S Webster Ave Suite 1 Green Bay WI 54301-2290 Ph: (920) 435-1998 |
NPI Number | 1194859215 |
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Provider Enumeration Date | 03/14/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194859215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5000528 (Wisconsin) | Primary |
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