Antigo Dental Clinic LLC
Antigo Dental Clinic LLC provides General Practice Dentistry in Antigo, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
707 6th AveAntigo, WI 54409
Phone: (715) 627-4391
Fax: (715) 627-4392
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 5001261-015 (WI) |
|---|
Record details
| NPI number | 1417004177 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Meghan O'Brien — Practice Owner · (715) 627-4391 |
| NPI enumerated | January 4, 2007 |
| Last updated in NPPES | December 14, 2016 |
| Mailing address | 707 6th Ave, Antigo, WI 54409 |
Other providers in Antigo
-
Dr. Stanley Ernest Brown, DDS
705 5th Ave, Antigo, WI 54409-2042 · (715) 623-5331
-
Meghan Keely Obrien, DDS
707 6th Ave, Antigo, WI 54409 · (715) 627-4391
-
Gary John Peterson, DDS
2010 Progress Blvd, Antigo, WI 54409-2475 · (715) 623-7221
-
Raymond J Portman, DDS
705 Fifth Ave, Antigo, WI 54409 · (715) 623-5331