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Beaver Dam Dental Llc
General Practice Dentistry in Beaver Dam, Wisconsin
NPI 1699985051

Beaver Dam Dental Llc is a General Practice Dentistry based in Beaver Dam, WI and is specialized in General Practice. Beaver Dam Dental Llc practices in Beaver Dam, WI. The NPI Number for Beaver Dam Dental Llc is 1699985051 and holds a License No. 1384G (Wisconsin).

The current practice location address for Beaver Dam Dental Llc is 302 N Spring St, Beaver Dam, WI and can be reached out via phone at 920-887-8421 and via fax at 920-887-8431.

Location: 302 N Spring St, Beaver Dam, WI, 53916-0436
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699985051
Provider Name
Beaver Dam Dental Llc
Credential
Provider Entity Type
Organization
Address
302 N Spring St, Beaver Dam, WI, 53916-0436
Phone Number
920-887-8421
Fax Number
920-887-8431
Provider Enumeration Date
05/23/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33555900 05 WI
1871881169 05 WI
33477900 05 WI
institution
Provider Business Practice Location Address Details
Address
302 N Spring St
City
Beaver Dam
State
Wisconsin
Zip
53916-2044
Phone Number
920-887-8421
Fax Number
920-887-8431
person
Provider Business Mailing Address Details
Address
302 N Spring St
City
Beaver Dam
State
Wisconsin
Zip
53916-2044
Phone Number
920-887-8421
Fax Number
920-887-8431
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1384G (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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