Dr Jack L Brickner, DDS - Dentist in Appleton, WI

Dr Jack L Brickner, DDS is a Dentist - General Practice based in Appleton, Wisconsin. Dr Jack L Brickner is licensed to practice in Wisconsin (license number 5001371G) and his current practice location is 5553 Waterford Ln, Appleton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 739-7165.

NPI number for Dr Jack L Brickner is 1215086566 and his current mailing address is 4540 Algonquin Trl, Green Bay, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215086566.

Contact Information

Dr Jack L Brickner, DDS
5553 Waterford Ln,
Appleton, WI 54913-8468
(920) 739-7165
Not Available



Healthcare Provider's Profile

Full NameDr Jack L Brickner
GenderMale
SpecialityDentist - General Practice
Location5553 Waterford Ln, Appleton, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215086566
  • Provider Enumeration Date: 01/09/2007
  • Last Update Date: 01/15/2009

Medical Identifiers

Medical identifiers for Dr Jack L Brickner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215086566NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 5001371G (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jack L Brickner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jack L Brickner, DDS
4540 Algonquin Trl,
Green Bay, WI 54313-9527

Ph: () -
Dr Jack L Brickner, DDS
5553 Waterford Ln,
Appleton, WI 54913-8468

Ph: (920) 739-7165

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Dentist in Appleton, WI

Naa Norkor Hammond,
Dentist
Medicare: Medicare Enrolled
Practice Location: 4660 W College Ave, Appleton, WI 54913
Phone: 920-730-0345    
Richard A Hack, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 2101 E Calumet St, Appleton, WI 54915
Phone: 920-731-2773    Fax: 920-731-6878
Dr. Fred W Cheney, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4660 W College Ave, Appleton, WI 54913
Phone: 920-730-0345    
Jonathan David Weber, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 811 N Lynndale Dr Ste 1a, Appleton, WI 54914
Phone: 920-450-4378    
Stephen M Moore,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 381 S Kools St, Appleton, WI 54914
Phone: 920-996-0123    Fax: 920-735-0123
Dr. Scott A Brezinsky, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 1100 N Lynndale Dr, Appleton, WI 54914
Phone: 920-731-4484    
Dr. William H Knapp, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4660 W College Ave, Appleton, WI 54913
Phone: 920-730-0345    

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