DR. Mark R Boettcher, DDS is a general practice dentist in Brookfield, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Mark R Boettcher, DDS NPI is 1083826390. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
16905 WEST WISCONSIN AVE
BROOKFIELD, WI
ZIP 53005-729
Phone: (262) 754-4480
Fax: (262) 754-4470
The NPI 1083826390 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 5/7/2007 and was last updated on 7/8/2007.