Dr. Mark R Boettcher is a Brookfield, Wisconsin based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mark R Boettcher is 5001903015 for General Practice Dentistry in Wisconsin. His current practice location is 16905 West Wisconsin Ave, Brookfield. Patients can reach him at 262-754-4480.
Dr. Mark R Boettcher 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. Mark R Boettcher 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. Mark R Boettcher
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
16905 West Wisconsin Ave, Brookfield, Wisconsin, 53005-5729
Phone:
262-754-4480
Fax:
262-754-4470
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:
1083826390
NPI Enumeration Date:
07 May, 2007
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. Mark R Boettcher are as mentioned below.
License Number
Specialization
State
Status
5001903015
General Practice Dentistry
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark R Boettcher such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
33363900
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:
16905 West Wisconsin Ave, Brookfield, Wisconsin
Zip:
53005-5729
Phone Number:
262-754-4480
Fax Number:
262-754-4470
Patients can reach Dr. Mark R Boettcher at 16905 West Wisconsin Ave, Brookfield, Wisconsin or can call to book an appointment on 262-754-4480. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.