institution
Dental Haven For Children Sc
Pediatric Dentist in Appleton, Wisconsin
NPI 1598105637

Dental Haven For Children Sc is a Pediatric Dentist based in Appleton, WI and is specialized in Pediatric Dentistry. Dental Haven For Children Sc practices in Appleton, WI. The NPI Number for Dental Haven For Children Sc is 1598105637 and holds a License No. 4564-015 (Wisconsin).

The current practice location address for Dental Haven For Children Sc is 2612 E Calumet St, Appleton, WI and can be reached out via phone at 920-739-6808 and via fax at 888-492-5007. You can also correspond with Dental Haven For Children Sc through the mailing address at 2612 E CALUMET ST, APPLETON, WI - 54915-4104 (mailing address contact number: 920-739-6808).

Location: 2612 E Calumet St, Appleton, WI, 54915-4104
institution
Provider Profile Details
NPI Number
1598105637
Provider Name
Dental Haven For Children Sc
Credential
Provider Entity Type
Organization
Address
2612 E Calumet St, Appleton, WI, 54915-4104
Phone Number
920-739-6808
Fax Number
888-492-5007
Provider Enumeration Date
07/03/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33718600 05 WI
institution
Provider Business Practice Location Address Details
Address
2612 E Calumet St
City
State
Zip
54915-4104
Phone Number
920-739-6808
Fax Number
888-492-5007
person
Provider Business Mailing Address Details
Address
2612 E Calumet St
City
State
Zip
54915-4104
Phone Number
920-739-6808
Fax Number
888-492-5007
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
4564-015 (Wisconsin)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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