Provider Demographics
NPI:1801034236
Name:ESSER, KRUEGER & BORJA DDS, SC
Entity Type:Organization
Organization Name:ESSER, KRUEGER & BORJA DDS, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:920-887-1292
Mailing Address - Street 1:205 S UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVER DAM
Mailing Address - State:WI
Mailing Address - Zip Code:53916-2438
Mailing Address - Country:US
Mailing Address - Phone:920-887-1292
Mailing Address - Fax:920-887-2426
Practice Address - Street 1:205 S UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:BEAVER DAM
Practice Address - State:WI
Practice Address - Zip Code:53916-2438
Practice Address - Country:US
Practice Address - Phone:920-887-1292
Practice Address - Fax:920-887-2426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty