Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis is a Dental Clinic in Ashland, Wisconsin. This organization is also known as sub part of Bad River Band Of Lake Superior Tribe Of Chippewa Indians. It is located at 53585 Nokomis Road, Ashland, WI and its contact number is 715-682-7133. The authorized person for Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis is Mrs. Debra Ann Tutor
who is Clinic Administrator of the clinic and their contact number is 715-682-7133. Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Debra Ann Tutor
Position:
Clinic Administrator
Contact Number:
715-682-7133
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis clinic are as mentioned below.
NPI Number:
1699701375
Parent Organization:
Bad River Band Of Lake Superior Tribe Of Chippewa Indians
NPI Enumeration Date:
24 Jun, 2006
NPI Last Update On:
06 Apr, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis are as mentioned below.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Wisconsin
Primary
Dentist
Wisconsin
Secondary
Public Health Or Welfare
Wisconsin
Secondary
Clinic/center
Wisconsin
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
TRZ020
Other
Wisconsin
Trailblazer/medicare
32957600
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis 53585 Nokomis Road, Ashland, Wisconsin
Zip:
54806-4272
Phone Number:
715-682-7133
Fax Number:
715-685-7857
Patients can reach Bad River Band Of Lake Superior Tribe Of Chippewa Indians Wis at 53585 Nokomis Road, Ashland, Wisconsin or can call to book an appointment on 715-682-7133. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.