NPI 1962631952

Sdc Dental Hygiene Concepts LLC

Organisation Exclusive Provider Organization Reedsville, WI

Practice location

Address: 5135 Grove Rd, Reedsville, WI 54230-9182
Phone: (920) 242-2209

Authorised official

Name: Sara Ann Beaupre
Title: Registered Dental Hygienist
Phone: (920) 242-2209

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 6637-016 (WI)

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Registry record

NPI: 1962631952
Entity type: Organization
NPI issued: 10 Jul 2009
Record last updated: 10 Jul 2009

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.