Search › Wisconsin › 1223G0001X
Jennifer Stafford, DDS
NPI 1811151574 · on the registry since 2008
Practice
- Address
- 201 Sherman Ave West
Fort Atkinson, WI 53538 - Phone
- (920) 563-7323
- Fax
- (920) 563-7612
- Organisation at this address
- 201 Water Front Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-07-11
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