MEDICARE: NEIGHBORHOOD SMILES OF WEST SALEM

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

General Provider Information

NPI Number	:	1033480306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEIGHBORHOOD SMILES OF WEST SALEM

Provider Business Mailing Address
First Line	:	1401 WATERLOO AVE.
Second Line	:
City	:	WEST SALEM
State	:	WI
Zip	:	54669-9270
Country	:	US
Telephone Number	:	608-786-0909
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 WATERLOO AVE.
Second Line	:
City	:	WEST SALEM
State	:	WI
Zip	:	54669-9270
Country	:	US
Telephone Number	:	608-768-0909
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VICKI MCMANUS
Credential	:
Telephone Number	:	360-588-4353

Provider Enumeration Date	:	01/19/2012
Last Update Date	:	01/19/2012

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1487764767 — DR. PRISCILLA H SHIH DDS
Practice Location Address:

1403 WATERLOO AVE , WATERLOO HEIGHTS DENTAL
WEST SALEM, WI
54669-9270

Practice Phone: 608-786-0909
Practice Fax:

1659863199 — NEIGHBORHOOD SMILES OF WEST SALEM, LLC
Practice Location Address:

1403 WATERLOO AVE
WEST SALEM, WI
54669-9270

Practice Phone: 608-519-4385
Practice Fax:

1528636388 — DR. TREYCE M SANDERSON DDS
Practice Location Address:

1403 WATERLOO AVE
WEST SALEM, WI
54669-9270

Practice Phone: 608-786-0909
Practice Fax: 608-786-4999

1932922382 — SLEEP HEALTH WISCONSIN LLC
Practice Location Address:

1403 WATERLOO AVE
WEST SALEM, WI
54669-9270

Practice Phone: 608-786-0909
Practice Fax:

1023662442 — JENNIFER EILEEN PARKER MSW, LCSW
Practice Location Address:

4582 NW PLAZA WEST DR STE 9
ZIONSVILLE, IN
46077-9270

Practice Phone: 317-627-6893
Practice Fax:

Directions to “NEIGHBORHOOD SMILES OF WEST SALEM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.