Beaver Dam Dental Llc is a Dental Clinic in Beaver Dam, Wisconsin. This organization is also known as sub part of Stepping Stone Dental Partners. It is located at 302 N Spring St, Beaver Dam, WI and its contact number is 920-887-8421. The authorized person for Beaver Dam Dental Llc is Mrs. Genevieve E Poppe
who is Partner of the clinic and their contact number is 608-358-3370. The primary license number for Beaver Dam Dental Llc is 3480 (General Practice) in Wisconsin. Beaver Dam Dental Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Beaver Dam Dental Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Beaver Dam Dental Llc
Specialization:
General Practice Dentistry
Clinic Address:
302 N Spring St, Beaver Dam, Wisconsin, 53916-2044
Phone:
920-887-8421
Fax:
920-887-8431
Authorized/Official Person Profile:
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. Genevieve E Poppe
Position:
Partner
Contact Number:
608-358-3370
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 Beaver Dam Dental Llc clinic are as mentioned below.
NPI Number:
1699985051
Parent Organization:
Stepping Stone Dental Partners
NPI Enumeration Date:
23 May, 2007
NPI Last Update On:
31 Jan, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Beaver Dam Dental Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
3480
Wisconsin
Primary
General Practice
1384G
Wisconsin
Secondary
General Practice
6749-015
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
33555900
Medicaid
Wisconsin
1871881169
Medicaid
Wisconsin
33477900
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:
Beaver Dam Dental Llc Po Box 436, Beaver Dam, Wisconsin
Zip:
53916-0436
Phone Number:
920-887-8421
Fax Number:
920-887-8431
Patients can reach Beaver Dam Dental Llc at 302 N Spring St, Beaver Dam, Wisconsin or can call to book an appointment on 920-887-8421. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.