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NPI Code Detail

MEDICARE: TODD A HEHLI D.D.S.

MEDICARE: TODD A HEHLI D.D.S.
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
11223G0001XGeneral Practice Dentistry4060WI

General Provider Information

NPI Number : 1922160498
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD A HEHLI D.D.S.
Provider Business Mailing Address
First Line : 4605 ROYAL DR
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-2928
Country : US
Telephone Number : 920-855-9220
Fax Number : 715-855-9225
Provider Business Practice Location Address
First Line : 4607 ROYAL DR
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-2928
Country : US
Telephone Number : 920-855-9220
Fax Number : 715-855-9225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 07/08/2007

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Directions to “ TODD A HEHLI D.D.S.” Practice Location

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