MEDICARE: DENNIS G ADLER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	5002028015	WI

General Provider Information

NPI Number	:	1083787626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS G ADLER DDS

Provider Business Mailing Address
First Line	:	303 E MAIN ST
Second Line	:
City	:	MOUNT HOREB
State	:	WI
Zip	:	53572-2032
Country	:	US
Telephone Number	:	608-437-5519
Fax Number	:	608-437-6521

Provider Business Practice Location Address
First Line	:	303 E MAIN ST
Second Line	:
City	:	MOUNT HOREB
State	:	WI
Zip	:	53572-2032
Country	:	US
Telephone Number	:	608-437-5519
Fax Number	:	608-437-6521

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/08/2007

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Directions to “ DENNIS G ADLER DDS” Practice Location

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