Organization
ADVANCED DENTAL SPECIALISTS, LLC
Active
Parent organization
ADVANCED DENTAL SPECIALISTS, LLC
Other names
Advanced Dental Specialists - Madison East
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED DENTAL SPECIALISTS, LLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
1734 THIERER RD, MADISON, WI 53704-3718
(608) 244-6888
Mailing address
1734 THIERER RD, MADISON, WI 53704-3718
(608) 244-6888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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