Algoma Lakeview Dental Care, S.C.
Organization Active NPI General Practice Dentistry · Algoma, WI
NPI 1700130648 · NPPES record last updated Oct 30, 2012
Key facts
- NPI
- 1700130648
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- ALGOMA LAKEVIEW DENTAL CARE, S.C.
- Practice address
- 1223 Lake St
Algoma, WI 54201-1447 - Phone
- (920) 487-5648
- Fax
- (920) 487-5658
- NPI assigned
- Oct 30, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Rebecca H Prust, D.D.S.
- Title
- President
- Phone
- (920) 487-5648
Practitioners 1
-
Rebecca Havel Prust, D.D.S.
National Provider Directory
Locations
1223 Lake St
Algoma, WI 54201
Phone (920) 487-5648
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
1223 Lake St
Algoma, WI 54201-1447
Mailing address
1223 Lake St
PO Box 275
Algoma, WI 54201-0275
Phone (920) 487-5648
Other providers in Algoma, WI
- Algoma Fama Dental LLC
- Algoma Health Opco LLC
- Algoma Hometown Pharmacy LLC
- Algoma Medical Center
- Aurora Pharmacy Inc
- Bellin Memorial Hospital Inc
- Bellin Psychiatric Center Inc
- William F Bluett
All providers in Algoma, 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 Oct 30, 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.