Gary L Kaefer DDS SC
Organization Active NPI General Practice Dentistry · Grantsburg, WI
NPI 1508949082 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508949082
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5001913 (WI)
- Legal business name
- GARY L KAEFER DDS SC
- Practice address
- 302 South Pine St
Grantsburg, WI 54840 - Phone
- (715) 463-2882
- Fax
- (715) 463-2885
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Gary L Kaefer, DDS
- Title
- Owner
- Phone
- (715) 463-2882
Corporate family (same tax ID) 1
Practitioners 2
-
Gary L Kaefer, DDS
National Provider Directory
- Tax ID family
- Gary Kaefer Family Dentisty DDS SC
Locations
302 S Pine St
Grantsburg, WI 54840
Phone (715) 463-2882
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 5001913 | WI | Yes |
Addresses
Primary practice location
302 South Pine St
Grantsburg, WI 54840
Mailing address
302 South Pine St
Grantsburg, WI 54840
Phone (715) 463-2882
Other providers in Grantsburg, WI
- Barbara Everson
- Jenna Sue Fickbohm
- Robyn Marie Formanek
- Jordan Fraser
- Kathleen M French
- Gretchen Jean Gerovac
- Janelle R. Gomez
- Debra Harris Hammer
- Brandie Marie Hanson
- Linae Marie Hicks
All providers in Grantsburg, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.