Organization
ELITE SMILES DENTAL, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISSA EDWARDS D.D.S. (DENTIST)
(920) 731-2211
Entity
Organization
Contact information
Practice address
315 W WISCONSIN AVE, APPLETON, WI 54911-4355
(920) 731-2211
(920) 733-7176
Mailing address
315 W WISCONSIN AVE, APPLETON, WI 54911-4355
(920) 731-2211
(920) 733-7176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6542-15
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578874426
NPI TYPE 1
WI
01
—
6542-15
LICENSE NUMBER
WI
Enumeration date
02/24/2016
Last updated
02/24/2016
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