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St. Croix Tribal Council

Organization Active NPI General Practice Dentistry · Webster, WI

NPI 1013128685 · NPPES record last updated Oct 15, 2024

Key facts

NPI
1013128685
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ST. CROIX TRIBAL COUNCIL
Practice address
4404 State Road 70
Webster, WI 54893-9251
Phone
(715) 349-8554
NPI assigned
May 25, 2007
Organization subpart
No

Authorized official

Name
Amber Heinz
Title
Health Director
Phone
(715) 349-8554

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
St Croix Chippewa Indians of Wi (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

4404 State Road 70
Webster, WI 54893-9251

Mailing address

4404 State Road 70
Webster, WI 54893-9251
Phone (715) 349-8554

Other names

  • St. Croix Tribal Dental Doing business as

Other providers in Webster, WI

All providers in Webster, WI · General Practice Dentistry in Wisconsin

Sources for this page

Verify at the official NPI Registry.