Dr. Kevin Clyde Potter is a Eau Claire, Wisconsin based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kevin Clyde Potter is 3070015 for Dentistry in Wisconsin. His current practice location is 1804 Warden St, Eau Claire. Patients can reach him at 715-834-8484.
Dr. Kevin Clyde Potter is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kevin Clyde Potter speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kevin Clyde Potter
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1804 Warden St, Eau Claire, Wisconsin, 54703
Phone:
715-834-8484
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 are as mentioned below.
NPI Number:
1891751582
NPI Enumeration Date:
22 Apr, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kevin Clyde Potter are as mentioned below.
License Number
Specialization
State
Status
3070015
Dentistry
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kevin Clyde Potter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33447500
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:
1804 Warden St, Eau Claire, Wisconsin
Zip:
54703
Phone Number:
715-834-8484
Patients can reach Dr. Kevin Clyde Potter at 1804 Warden St, Eau Claire, Wisconsin or can call to book an appointment on 715-834-8484. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.