Search › Wisconsin › 1223E0200X
Benjamin Fravel, D.D.S., M.S
NPI 1144292830 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1200 Crestview Dr
Suite 3
Hudson, WI 54016 - Phone
- (715) 386-8070
- Fax
- (715) 386-8958
- Organisation at this address
- St Croix Periodontics
River Heights EndodonticsInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 1223E0200X
- Licence states on file
- MN, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin