NPI 1134543101

Scion Dental

Organisation Preferred Provider Organization Mequon, WI

Practice location

Address: 10201 N Port Washington Rd, Mequon, WI 53092-5752
Phone: (262) 834-6130
Fax: (866) 413-6397

Authorised official

Name: Lisa a Sweeney
Title: Cfo/Secretary/Treasurer
Phone: (262) 834-6130

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1134543101
Entity type: Organization
NPI issued: 12 Feb 2014
Record last updated: 12 Feb 2014

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.