Delavan Family Dental
Organization Active NPI General Practice Dentistry · Delavan, WI
NPI 1922490655 · NPPES record last updated Mar 4, 2015
Key facts
- NPI
- 1922490655
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- DELAVAN FAMILY DENTAL
- Practice address
- 614 E Walworth Ave
Delavan, WI 53115-1249 - Phone
- (262) 728-9117
- NPI assigned
- Mar 4, 2015
- Organization subpart
- No
Authorized official
- Name
- Genie Kuble
- Title
- Contact Officer
- Phone
- (920) 450-0157
Corporate family (same tax ID) 1
Practitioners 1
-
Thomas J Schuetz, D.D.S.
National Provider Directory
- Tax ID family
- Delavan Family Dental
Locations
614 E Walworth Ave
Delavan, WI 53115
Phone (262) 728-9117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
614 E Walworth Ave
Delavan, WI 53115-1249
Mailing address
614 E Walworth Ave
Delavan, WI 53115-1249
Other providers in Delavan, WI
- Dean Health Systems, Inc
- Gary Dean
- Debra Sue Debuck
- Delavan Chiropractic Center,LTD
- Delavan Darien School
- Delavan Family Eye Care
- Delavan Rescue Squad Inc
- Delavan Rescue Squad, Inc.
- Delevan Family Dentistry
- April Doebert-Fischer
All providers in Delavan, 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 Mar 4, 2015. 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.