Eagleview Dental Office
Organization Active NPI General Practice Dentistry · Prairie Du Sac, WI
NPI 1669549044 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1669549044
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5002061-015 (WI)
- Legal business name
- EAGLEVIEW DENTAL OFFICE
- Practice address
- 476 Water St
Prairie Du Sac, WI 53578-1127 - Phone
- (608) 643-3855
- Fax
- (608) 643-6295
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
Authorized official
- Name
- William W. Knickmeyer, DDS
- Title
- Partner
- Phone
- (608) 643-3855
Practitioners 3
-
Brieanne M Laberge, DDS
-
Myles Dennis Teteak, D.D.S.
-
Alexandra A Wenzel, DDS
National Provider Directory
Locations
476 Water St
Prairie du Sac, WI 53578
Phone (608) 643-3855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 5002061-015 | WI | Yes |
Addresses
Primary practice location
476 Water St
Prairie Du Sac, WI 53578-1127
Mailing address
PO Box 126
476 Water St.
Prairie Du Sac, WI 53578-0126
Phone (608) 643-3855
Other providers in Prairie Du Sac, WI
- Elizabeth Christine Deroche
- Gregory Dezell
- Bridget Ann Dollar
- E-Scripts, Inc
- E-Scripts, Inc
- Michael A Eannelli Sr.
- Scott A Ensminger
- Andrew Ertl
- Jeffrey J Everson
- Ann M Evert
All providers in Prairie Du Sac, 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.