Individual
DR. JOHN NOLAN TESSENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
215 5TH AVE, EAU CLAIRE, WI 54703-5698
(715) 832-3100
(715) 832-3170
Mailing address
215 5TH AVE, EAU CLAIRE, WI 54703-5698
(715) 832-3100
(715) 832-3170
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2245
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
392011392
TAX ID #
WI
Enumeration date
06/28/2007
Last updated
06/15/2015
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