Organization
PREMIER PERIODONTICS LLC
Active
Parent organization
STEPPING STONE DENTAL PARTNERS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEPPING STONE DENTAL PARTNERS LLC
Authorized official
GENEVIEVE E POPPE (PARTNER)
(608) 358-3370
Entity
Organization
Contact information
Practice address
2933 W LAYTON AVE, GREENFIELD, WI 53221-2626
(414) 282-2642
(414) 282-1952
Mailing address
2933 W LAYTON AVE, GREENFIELD, WI 53221-2626
(414) 282-2642
(414) 282-1952
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5001847-15
WI
1223P0300X
Periodontics
7160-15
WI
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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