Dental Haven For Children Sc is a Pediatric Dental Clinic in Appleton, Wisconsin. It is located at 2612 E Calumet St, Appleton, WI and its contact number is 920-739-6808. The authorized person for Dental Haven For Children Sc is Gonzalo E Hernandez
who is President of the clinic and their contact number is 920-739-6808. The primary license number for Dental Haven For Children Sc is 4564-015 (Pediatric Dentistry) in Wisconsin. Dental Haven For Children Sc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Dental Haven For Children Sc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Dental Haven For Children Sc
Specialization:
Pediatric Dentistry
Clinic Address:
2612 E Calumet St, Appleton, Wisconsin, 54915-4104
Phone:
920-739-6808
Fax:
888-492-5007
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:
Gonzalo E Hernandez
Position:
President
Contact Number:
920-739-6808
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 Dental Haven For Children Sc clinic are as mentioned below.
NPI Number:
1598105637
NPI Enumeration Date:
03 Jul, 2013
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dental Haven For Children Sc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
4564-015
Wisconsin
Primary
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
33718600
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:
Dental Haven For Children Sc 2612 E Calumet St, Appleton, Wisconsin
Zip:
54915-4104
Phone Number:
920-739-6808
Fax Number:
888-492-5007
Patients can reach Dental Haven For Children Sc at 2612 E Calumet St, Appleton, Wisconsin or can call to book an appointment on 920-739-6808. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.