Thomas Alan Macak, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Plover, WI
- NPI
- 1356343479
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 2716 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-06-01
- Last updated
- 2007-07-08
Practice location
2810 Gilman Dr
Plover, WI 54467-2702
(715) 344-0684