NPI 1063775377

Tenor Family Dentistry of Appleton

Organisation Dentist Appleton, WI

Practice location

Address: 2600 N Richmond St, Appleton, WI 54911-1956
Phone: (920) 730-0400
Mailing address: 850 Elm Grove Rd STE 25, Elm Grove, WI 53122-2527

Authorised official

Name: Rebecca Lynn Bergene
Title: Chief Operating Officer
Phone: (920) 860-9252

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1063775377
Entity type: Organization
NPI issued: 21 Jun 2012
Record last updated: 21 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.