Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLACK CREEK DENTAL LLC
Active OrganizationBLACK CREEK DENTAL LLC is a General Dentistry organization located in BLACK CREEK, Wisconsin. NPI 1457716763 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · BLACK CREEK, WI
Registration Details
- NPI Number
- 1457716763
- Provider Type
- Organization
- NPI Issued
- Dec 31, 2015 (10.635158281541 yrs)
- Last Updated
- Dec 31, 2015
- License
-
4932-15 (WI)
Practice Information
- Address
-
207 S MAIN STBLACK CREEK, WI, 541069742Browse WI providers · Browse ZIP 54106
- Phone
- 9209843315
- Fax
- 9209843317
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.