De Pere Family Dentistry LLC
De Pere Family Dentistry LLC provides General Practice Dentistry in De Pere, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.
- Licensed in
- WI
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1001 N BroadwayDe Pere, WI 54115-2609 Not confirmed with CMS for 14 years — call before visiting
Phone: (920) 336-2500
Fax: (920) 336-4684
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 5001499 (WI) |
|---|
Record details
| NPI number | 1225307267 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cyril Van Sistine — Partner / Manager · (920) 336-2500 |
| NPI enumerated | December 20, 2011 |
| Last updated in NPPES | December 20, 2011 |
| Mailing address | 1001 N Broadway, De Pere, WI 54115-2609 |
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