Organization · Type 2 NPI
Eby Family Dental of Jefferson
Dental Clinic/Center · Jefferson, WI
NPI number
1881307882
Active
Practice location
1491 S Main St
Jefferson, WI 53549-2931
Fax (920) 897-6081
Mailing address
PO Box 299
Jefferson, WI 53549-0299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1881307882
Eby Family Dental of Jefferson's National Provider Identifier is 1881307882, issued on Jan 4, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jefferson, WI. The record was last updated on Jan 11, 2023.