Lac Du Flambeau Band of Lake Superior Chippewa Indians
Lac Du Flambeau Band of Lake Superior Chippewa Indians is a Dental Clinic/Center in Lac Du Flambeau, Wisconsin. Registered with an NPI since 2011.
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
128 Old Abe RdLac Du Flambeau, WI 54538-9682
Phone: (715) 588-4466
Fax: (715) 588-2269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|---|
| Federally Qualified Health Center (FQHC) | Taxonomy 261QF0400X |
Record details
| NPI number | 1427347426 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Lac Du Flambeau Band of Lake Superior Chippewa Indians |
| Authorized official | Jeanne Wolfe — Compliance Officer · (715) 588-4466 |
| Other names | Peter Christensen Dental Clinic |
| NPI enumerated | March 31, 2011 |
| Last updated in NPPES | January 28, 2014 |
| Mailing address | 128 Old Abe Road, Lac Du Flambeau, WI 54538-9682 |