# JOHN W. STILP, DDS, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063739589
- **Authorized official:** DR. JOHN WILLIAM STILP DDS (PRESIDENT)
- **Authorized official phone:** (715) 845-4511

## Contact information

- **Practice address:** 3000 WESTHILL DRIVE, SUITE 301, WAUSAU, WI 54401
- **Practice address phone:** (715) 845-4511
- **Practice address fax:** (715) 845-1898
- **Mailing address:** 3000 WESTHILL DRIVE, SUITE 301, WAUSAU, WI 54401
- **Mailing address phone:** (715) 845-4511
- **Mailing address fax:** (715) 845-1898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 500212 | WI | Yes |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 04/23/2010