Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TONY LEE PILGRIM, DDS
Active Sole ProprietorDR. TONY LEE PILGRIM, DDS is a General Dentistry healthcare provider located in FALL CREEK, Wisconsin. NPI 1861545055 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · FALL CREEK, WI
Registration Details
- NPI Number
- 1861545055
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2007 (19.424539907873 yrs)
- Last Updated
- Jul 8, 2007
- License
-
003104 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
122 S. STATE ST.FALL CREEK, WI, 547420066Browse WI providers · Browse ZIP 54742
- Phone
- 7158772113
- Fax
- 7158773495
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in FALL CREEK, WI
| Name | Credential | NPI |
|---|---|---|
| MATTHEW THOMAS ANDERSON | DDS | 1730928714 |
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.