Fountain City Family Dentistry is a Dental Clinic in Fountain City, Wisconsin. It is located at 34 N Main St, Fountain City, WI and its contact number is 608-687-3571. The authorized person for Fountain City Family Dentistry is Desiree M. Mork
who is Owner of the clinic and their contact number is 608-687-3571. The primary license number for Fountain City Family Dentistry is 5882015 (Dentist) in Wisconsin. Fountain City Family Dentistry 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:
Fountain City Family Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fountain City Family Dentistry
Specialization:
Dentistry
Clinic Address:
34 N Main St, Fountain City, Wisconsin, 54629-8705
Phone:
608-687-3571
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:
Desiree M. Mork
Position:
Owner
Contact Number:
608-687-3571
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 Fountain City Family Dentistry clinic are as mentioned below.
NPI Number:
1457507329
NPI Enumeration Date:
12 Aug, 2008
NPI Last Update On:
12 Aug, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fountain City Family Dentistry are as mentioned below.
Specialization
License Number
State
Status
Dentist
5882015
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
33814900
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:
Fountain City Family Dentistry 34 N Main St, Po Box 367 Fountain City, Wisconsin
Zip:
54629-8705
Phone Number:
608-687-3571
Patients can reach Fountain City Family Dentistry at 34 N Main St, Fountain City, Wisconsin or can call to book an appointment on 608-687-3571. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.