Organization
ADVANCED DENTAL SPECIALISTS, LLC
Active
Parent organization
ADVANCED DENTAL SPECIALISTS, LLC
Other names
Advanced Dental Specialists Franklin
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED DENTAL SPECIALISTS, LLC
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
9130 W LOOMIS RD, FRANKLIN, WI 53132-8888
(414) 209-0337
Mailing address
9130 W LOOMIS RD, FRANKLIN, WI 53132-8888
(414) 209-0337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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