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Fox River Periodontics Sc
Periodontist in Appleton, Wisconsin
NPI 1134339500

Fox River Periodontics Sc is a Periodontist based in Appleton, WI and is specialized in Periodontics. Fox River Periodontics Sc practices in Appleton, WI. The NPI Number for Fox River Periodontics Sc is 1134339500 and holds a License No. 5864-015 (Wisconsin).

The current practice location address for Fox River Periodontics Sc is 2557B East Calumet St, Appleton, WI and can be reached out via phone at 920-733-7770 and via fax at 920-733-7798.

Location: 2557B East Calumet St, Appleton, WI, 54915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134339500
Provider Name
Fox River Periodontics Sc
Credential
Provider Entity Type
Organization
Address
2557B East Calumet St, Appleton, WI, 54915
Phone Number
920-733-7770
Fax Number
920-733-7798
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2557B East Calumet St
City
Appleton
State
Wisconsin
Zip
54915
Phone Number
920-733-7770
Fax Number
920-733-7798
person
Provider Business Mailing Address Details
Address
2557B East Calumet St
City
Appleton
State
Wisconsin
Zip
54915
Phone Number
920-733-7770
Fax Number
920-733-7798
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
5864-015 (Wisconsin)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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