Organization
OSHKOSH COMPLETE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT HEIL DDS (PRESIDENT)
(920) 428-5416
Entity
Organization
Contact information
Practice address
1013 N MAIN ST, OSHKOSH, WI 54901-3837
(920) 428-5416
Mailing address
623 E TALLGRASS DR, APPLETON, WI 54913-7505
(920) 428-5416
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/22/2020
Last updated
01/07/2022
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