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Organization

SMILE CLINIC, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT MARTIN BEHRINGER DDS (OWNER)
(920) 682-9131
Entity
Organization

Contact information

Practice address
1602 N 18TH ST, MANITOWOC, WI 54220-1858
(920) 682-9131
(920) 682-9799
Mailing address
1602 N 18TH ST, MANITOWOC, WI 54220-1858
(920) 682-9131
(920) 682-9799

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1788
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1788
DELTA DENTAL
WI
01
389569136002
BLUE CROSS BLUE SHIELD
WI
01
840836W
UNITED CONCORDIA
WI
Enumeration date
08/17/2006
Last updated
08/22/2020
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