Mishicot Dental
Mishicot Dental is a General Practice Dentistry in Mishicot, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2008.
- Licensed in
- WI
- In the registry since
- 2008
Practice location Address checks out
105 N Park LnMishicot, WI 54228-9537
Phone: (920) 755-2336
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 5096-015 (WI) |
|---|
Record details
| NPI number | 1407006869 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Thiel — President / Dentist · (920) 755-2336 |
| NPI enumerated | September 23, 2008 |
| Last updated in NPPES | September 23, 2008 |
| Mailing address | 105 N Park Ln, Mishicot, WI 54228-9537 |