OrganizationActive
Integrated Health Services, LLC
NPI 1841456761 · Oral and Maxillofacial Surgery (Dentist) · Beloit, WI
Provider details
- NPI number
- 1841456761
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Richard Perry, Chief Executive Officer(608) 361-6130
Specialties & taxonomies
Dental Providers
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
Practice location
74 Eclipse Ctr
Beloit, WI 53511-3550
Phone: (608) 361-0311
Approximate (ZIP-level) locationGet directions
Mailing address
74 Eclipse Ctr
Beloit, WI 53511-3550
Registry dates
- Enumerated
- 2008-07-30
- Last updated
- 2009-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.