Black Creek Dental LLC
Black Creek Dental LLC provides General Practice Dentistry in Black Creek, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.
- Licensed in
- WI
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
207 S Main StBlack Creek, WI 54106-9742 Not confirmed with CMS for 10 years — call before visiting
Phone: (920) 984-3315
Fax: (920) 984-3317
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 4932-15 (WI) |
|---|
Record details
| NPI number | 1457716763 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Lornson — Owner · (920) 984-3315 |
| NPI enumerated | December 31, 2015 |
| Last updated in NPPES | December 31, 2015 |
| Mailing address | Po Box 255, Black Creek, WI 54106-0255 |