Organization
PROGRESSIVE PERIODONITICS AND DENTAL IMPLANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J MCNAMARA D.D.S. (PRESIDENT)
(414) 425-7710
Entity
Organization
Contact information
Practice address
8405 W FOREST HOME AVE, SUITE 203, GREENFIELD, WI 53228-3407
(414) 425-7710
(414) 425-7424
Mailing address
8405 W FOREST HOME AVE, SUITE 203, GREENFIELD, WI 53228-3407
(414) 425-7710
(414) 425-7424
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2918
WI
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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