Andrea M Bertotto, D.D.S., S.C.
Organization Active NPI Dentist · Wisconsin Rapids, WI
NPI 1194135582 · NPPES record last updated May 6, 2014
Key facts
- NPI
- 1194135582
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 6047-015 (WI)
- Legal business name
- ANDREA M BERTOTTO, D.D.S., S.C.
- Practice address
- 1980 7TH St S
Wisconsin Rapids, WI 54494-6017 - Phone
- (715) 423-7160
- Fax
- (715) 424-7337
- NPI assigned
- May 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrea M Bertotto, D.D.S.
- Title
- President
- Phone
- (715) 423-7160
Practitioners 3
-
John Henry Prey, D.D.S.
-
Gerald M Voelker, D.D.S.
National Provider Directory
Locations
1980 7th St S
Wisconsin Rapids, WI 54494
Phone (715) 423-7160
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 6047-015 | WI | Yes |
Addresses
Primary practice location
1980 7TH St S
Wisconsin Rapids, WI 54494-6017
Mailing address
1980 7TH St S
Wisconsin Rapids, WI 54494-6017
Phone (715) 423-7160
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6047-015 | Other | WI | DENTISTRY |
Other providers in Wisconsin Rapids, WI
- Randall John Ambrosius
- Megan Amundson
- Bethany Lee Anderson
- Donna J Anderson
- Jaimie Jo Anderson
- Steven C Andrews
- Anesthesia Associates of Wisconsin Rapids, S.C.
- Appleton Medical LLC
- Kristy L Apuakehau
- Carolyn K Ashbeck
All providers in Wisconsin Rapids, WI · Dentist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2014. 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.