Affordable Dentures - Eau Claire, S.C.
Organization Active NPI General Practice Dentistry · Eau Claire, WI
NPI 1932467222 · NPPES record last updated Apr 25, 2012
Key facts
- NPI
- 1932467222
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6330-015 (WI)
- Legal business name
- AFFORDABLE DENTURES - EAU CLAIRE, S.C.
- Practice address
- 4850 Keystone Xing
Eau Claire, WI 54701-5076 - Phone
- (715) 855-1020
- NPI assigned
- Apr 25, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Phillip Douglas, DDS
- Title
- Practice Owner
- Phone
- (715) 855-1020
Practitioners 1
-
Phillip R Douglas, DDS
National Provider Directory
Locations
4850 Keystone Xing
Eau Claire, WI 54701
Phone (715) 855-1020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 6330-015 | WI | Yes |
Addresses
Primary practice location
4850 Keystone Xing
Eau Claire, WI 54701-5076
Mailing address
4850 Keystone Xing
Eau Claire, WI 54701-5076
Other providers in Eau Claire, WI
- Aron S Adkins
- Advantage Health Center LLC
- Aegis Group Practice LLC
- Aegis Group Practice LLC
- Kirsten L. Aexel Handley
- Rachel Johana Agazie
- Andrea Aguayo
- Abigail Grace Aguirre
- Aruna S Ahluwalia
- Sharat Ahluwalia
All providers in Eau Claire, 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 Apr 25, 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.