Oak Park Dental Clinic
Organization Active NPI Dental Clinic/Center · Siren, WI
NPI 1285760751 · NPPES record last updated Mar 9, 2011
Key facts
- NPI
- 1285760751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- OAK PARK DENTAL CLINIC
- Practice address
- 24164 Highway 35-70
Siren, WI 54872 - Phone
- (715) 349-2297
- Fax
- (715) 349-2298
- NPI assigned
- Feb 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Jon E Cruz, D.D.S.
- Title
- Member
- Phone
- (715) 349-2297
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Oak Park Dental Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
24164 Highway 35-70
Siren, WI 54872
Mailing address
PO Box 269
Siren, WI 54872-0269
Phone (715) 349-2297
Other names
- Siren Dental Clinic
Other providers in Siren, WI
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- Dawn Renee Merchant
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- Northwest Counseling and Guidance Clinic
- Northwest Counseling and Guidance Clinic- Siren Day Treatment
- Sheldon Arnold Olesen
- John D Peterson
- Tiffany D Peterson
- Jodi Reed
- Michael R Rossow
All providers in Siren, WI · Dental Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2011. 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.