Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA GARDOCKI, DENTIS
Active Sole ProprietorDentist · OREGON, WI
Registration Details
- NPI Number
- 1801987631
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2006 (19.606724602951 yrs)
- Last Updated
- Jan 26, 2009
- License
-
3054 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 PLEASANT OAK DROREGON, WI, 535753648Browse WI providers · Browse ZIP 53575
- Phone
- 6088353388
- Fax
- 6088353386
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in OREGON, WI
| Name | Credential | NPI |
|---|---|---|
| DR. STEPHEN L KELLOGG | DDS | 1760495196 |
| DR. CHAD T MUELLER | DDS | 1306924832 |
| MRS. TAMMY DEE MANDARINO | D.D.S. | 1528217759 |
| DR. JARED M ELLINGSON | DMD | 1992694822 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.