Organization
HARTJES DENTAL ASSOCIATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL M HARTJES DDS (PARTNER)
(608) 836-5600
Entity
Organization
Contact information
Practice address
1001 N GAMMON RD, SUITE 2, MIDDLETON, WI 53562-3874
(608) 836-5600
(608) 836-4589
Mailing address
1001 N GAMMON RD, SUITE 2, MIDDLETON, WI 53562-3874
(608) 836-5600
(608) 836-4589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4461 & 2835
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33431600
—
WI
05
—
33784500
—
WI
Enumeration date
11/20/2006
Last updated
08/22/2020
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