# PULASKI FAMILY DENTAL CARE, S.C.

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

## Provider details

- **NPI number:** 1427195981
- **Authorized official:** DR. PAUL M CHRISMAN (PRESIDENT)
- **Authorized official phone:** (920) 822-8111

## Contact information

- **Practice address:** 960 SOUTH SAINT AUGUSTINE ST., PULASKI, WI 54162
- **Practice address phone:** (920) 822-8111
- **Practice address fax:** (920) 822-2198
- **Mailing address:** PO BOX 739, PULASKI, WI 54162-0739
- **Mailing address phone:** (920) 822-8111
- **Mailing address fax:** (920) 822-2198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2317 | WI | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 02/18/2013