Search › Wisconsin › 1223G0001X
Jack Brickner, DDS
NPI 1215086566 · on the registry since 2007 · sole proprietor
Practice
- Address
- 5553 Waterford Ln
Appleton, WI 54913 - Phone
- (920) 739-7165
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-01-15
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