Organization
NORTHERN DOOR DENTAL SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MALCOLM MAYHEW III DDS (DENTIST PRACTICE PRESIDENT OWNER)
(920) 854-5200
Entity
Organization
Contact information
Practice address
10589 S HIGHLAND RD STE 4, SISTER BAY, WI 54234
(920) 854-5200
(920) 854-7601
Mailing address
10589 S HIGHLAND RD STE 4, SISTER BAY, WI 54234
(920) 854-5200
(920) 854-7601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002020015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33368800
—
WI
Enumeration date
04/03/2007
Last updated
07/30/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us