Robert H Southworth DDS SC
Robert H Southworth DDS SC is a General Practice Dentistry in Wausau, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
609 Jackson StWausau, WI 54403-5550
Phone: (715) 842-1935
Fax: (715) 842-0334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 5001628-015 (WI) |
|---|
Record details
| NPI number | 1841309697 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Southworth — President Owner · (715) 842-1935 |
| NPI enumerated | August 29, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 609 Jackson St, Wausau, WI 54403-5550 |
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