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Black Creek Dental Llc
General Practice Dentistry in Black Creek, Wisconsin
NPI 1457716763

Black Creek Dental Llc is a General Practice Dentistry based in Black Creek, WI and is specialized in General Practice. Black Creek Dental Llc practices in Black Creek, WI. The NPI Number for Black Creek Dental Llc is 1457716763 and holds a License No. 4932-15 (Wisconsin).

The current practice location address for Black Creek Dental Llc is 207 S Main St, Black Creek, WI and can be reached out via phone at 920-984-3315 and via fax at 920-984-3317.

Location: 207 S Main St, Black Creek, WI, 54106-0255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457716763
Provider Name
Black Creek Dental Llc
Credential
Provider Entity Type
Organization
Address
207 S Main St, Black Creek, WI, 54106-0255
Phone Number
920-984-3315
Fax Number
920-984-3317
Provider Enumeration Date
12/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
207 S Main St
City
Black Creek
State
Wisconsin
Zip
54106-9742
Phone Number
920-984-3315
Fax Number
920-984-3317
person
Provider Business Mailing Address Details
Address
207 S Main St
City
Black Creek
State
Wisconsin
Zip
54106-9742
Phone Number
920-984-3315
Fax Number
920-984-3317
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4932-15 (Wisconsin)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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