Organization
JOEL A. EGGERT D.D.S.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL EGGERT D.D.S. (PRESIDENT)
(920) 743-4334
Entity
Organization
Contact information
Practice address
14 S 3RD AVE, STURGEON BAY, WI 54235-2246
(920) 743-4334
Mailing address
14 S 3RD AVE, STURGEON BAY, WI 54235-2246
(920) 743-4334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2080G
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33372100
—
WI
Enumeration date
04/22/2007
Last updated
08/22/2020
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