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Kewaskum Family Dentistry
General Practice Dentistry in Kewaskum, Wisconsin
NPI 1558017426

Kewaskum Family Dentistry is a General Practice Dentistry based in Kewaskum, WI and is specialized in General Practice. Kewaskum Family Dentistry practices in Kewaskum, WI. The NPI Number for Kewaskum Family Dentistry is 1558017426 and holds a License No. (Wisconsin).

The current practice location address for Kewaskum Family Dentistry is 1204 Fond Du Lac Ave, Kewaskum, WI and can be reached out via phone at 262-626-2119.

Location: 1204 Fond Du Lac Ave, Kewaskum, WI, 53040-8954
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558017426
Provider Name
Kewaskum Family Dentistry
Credential
Provider Entity Type
Organization
Address
1204 Fond Du Lac Ave, Kewaskum, WI, 53040-8954
Phone Number
262-626-2119
Fax Number
Provider Enumeration Date
03/01/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1204 Fond Du Lac Ave
City
Kewaskum
State
Wisconsin
Zip
53040-8954
Phone Number
262-626-2119
Fax Number
person
Provider Business Mailing Address Details
Address
1204 Fond Du Lac Ave
City
Kewaskum
State
Wisconsin
Zip
53040-8954
Phone Number
262-626-2119
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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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person
Stephen Reynolds Van Ess
NPI 1740284306
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1053 Fond Du Lac Ave,
KEWASKUM, WI
53040-9495
262-626-8444
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