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Organization

ORTHODONTIC SPECIALISTS, SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TIMOTHY JAMES MCREATH DDS (PRESIDENT)
(608) 356-2151
Entity
Organization

Contact information

Practice address
1210 DRAPER ST, BARABOO, WI 53913-1230
(608) 356-2151
(608) 356-2450
Mailing address
1210 DRAPER ST, P.O. BOX 21, BARABOO, WI 53913-1230
(608) 356-2151
(608) 356-2450

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4280015
WI

Other

Enumeration date
03/15/2007
Last updated
08/22/2020
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