NPI 1154743177

Church Health Services, INC.

Organisation Dental Clinic/Center Beaver Dam, WI

Practice location

Address: 115 N Center St, Beaver Dam, WI 53916-2119
Phone: (920) 887-1766
Fax: (920) 887-2322

Authorised official

Name: Susan Osteen
Title: Executive Director
Phone: (920) 887-1766

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 27426020 (WI)

Other Clinic/Center providers in Wisconsin →

Registry record

NPI: 1154743177
Entity type: Organization
NPI issued: 10 Jan 2014
Record last updated: 10 Jan 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.