Marathon Family Dentistry, LLC
Organization Active NPI Dentist · Marathon, WI
NPI 1073026936 · NPPES record last updated Nov 14, 2017
Key facts
- NPI
- 1073026936
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- MARATHON FAMILY DENTISTRY, LLC
- Practice address
- 981 Blue Stone LN
Marathon, WI 54448-6800 - Phone
- (715) 443-2200
- NPI assigned
- Nov 14, 2017
- Organization subpart
- No
Authorized official
- Name
- Olga Grenova
- Title
- Director of Accounting
- Phone
- (608) 833-2213
Practitioners 2
-
Jeremy Hoffman, DDS
-
Paul M Lorentson, DDS
National Provider Directory
Locations
981 Blue Stone Ln
Marathon, WI 54448
Phone (715) 443-2200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
981 Blue Stone LN
Marathon, WI 54448-6800
Mailing address
981 Blue Stone LN
Marathon, WI 54448-6800
Phone (715) 443-2200
Other providers in Marathon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.