La Crosse Pediatric Dentistry Llc - Primary Care in La Crosse, WI

La Crosse Pediatric Dentistry Llc is a primary clinic (Clinic/center) in La Crosse, Wisconsin. The current practice location for La Crosse Pediatric Dentistry Llc is 2 Copeland Ave Ste 203, La Crosse, Wisconsin. For appointments, you can reach them via phone at (608) 782-4054. The mailing address for La Crosse Pediatric Dentistry Llc is 2 Copeland Ave Ste 203, La Crosse, Wisconsin and phone number is (608) 782-4054.

La Crosse Pediatric Dentistry Llc is licensed to practice in Wisconsin (license number 1001174-15) and its NPI number is 1831550813. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (608) 782-4054.

Contact Information

La Crosse Pediatric Dentistry Llc
2 Copeland Ave Ste 203
La Crosse
WI 54603-3419
(608) 782-4054
(608) 782-2198

Primary Care Clinic Profile

Full NameLa Crosse Pediatric Dentistry Llc
SpecialityClinic/center
Location2 Copeland Ave Ste 203, La Crosse, Wisconsin
Authorized Official Name and PositionJonathan M Hanks (ONWER/DDS)
Authorized Official Contact6087824054
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
La Crosse Pediatric Dentistry Llc
2 Copeland Ave Ste 203
La Crosse
WI 54603-3419

Ph: (608) 782-4054
La Crosse Pediatric Dentistry Llc
2 Copeland Ave Ste 203
La Crosse
WI 54603-3419

Ph: (608) 782-4054

NPI Details:

NPI Number1831550813
Provider Enumeration Date03/17/2016
Last Update Date03/17/2016

Medical Identifiers

Medical identifiers for La Crosse Pediatric Dentistry Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831550813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 1001174-15 (Wisconsin)Primary

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