Christine Liesen John J Pinzl DDS SC
Organization Active NPI Dentist · Woodruff, WI
NPI 1295098523 · NPPES record last updated Jun 21, 2012
Key facts
- NPI
- 1295098523
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 3843 (WI)
- Legal business name
- CHRISTINE LIESEN JOHN J PINZL DDS SC
- Practice address
- 240 Oak Street
Woodruff, WI 54568 - Phone
- (715) 356-3474
- Fax
- (715) 358-5145
- NPI assigned
- Jun 21, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. John J Pinzl, DDS
- Title
- President
- Phone
- (715) 356-3474
Practitioners 2
-
Christine A Liesen, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 3843 | WI | Yes |
| Dentist |
122300000X | 3925 | WI |
Addresses
Primary practice location
240 Oak Street
Woodruff, WI 54568
Mailing address
PO Box 260
Woodruff, WI 54568-0260
Phone (715) 356-3474
Other providers in Woodruff, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2012. 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.