Organization
DENNIS R SHERRADEN, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS ROBERT SHERRADEN D.D.S. (OWNER)
(608) 221-8787
Entity
Organization
Contact information
Practice address
100 RIVER PL, SUITE 189, MONONA, WI 53716-4041
(608) 221-8787
(608) 441-9157
Mailing address
100 RIVER PL, SUITE 180, MONONA, WI 53716-4041
(608) 221-8787
(608) 441-9157
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
WI 3555
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33482200
—
WI
Enumeration date
05/18/2008
Last updated
05/18/2008
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