NICOLAS ABUJAMRA DDS MS LTD (NPI# 1841419587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841419587 |
| Entity Type | Organization |
| Organization Name | NICOLAS ABUJAMRA DDS MS LTD |
| Practice Address |
2581 Development Dr Suite 102 Green Bay WI 54311-4247 |
| Practice Telephone | 9203472626 |
| Practice Fax Number | 9203472621 |
| Mailing Telephone | 9203472626 |
| Mailing Fax Number | 9203472621 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NICOLAS FAWZI ABUJAMRA (DOCTOR) |
| Authorized Official Telephone | 9203472626 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
4873-015 | WI | Dental Providers |
| Street Address |
2581 DEVELOPMENT DR SUITE 102 |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-4247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578583654 | William J Nelson | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-20 |
| 1396001483 | Chad Randall Seubert | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2012-04-03 |
| 1619174877 | Brandon E Newell | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2007-06-29 |
| 1174732572 | Baycare Clinic LLP | Durable Medical Equipment & Medical Supplies | 2581 Development Dr, Green Bay, WI 54311-4247 | 2007-05-22 |
| 1710018882 | Dr. Paula S. Crum, S.c. | Dentist | 2581 Development Dr, Suite 204, Green Bay, WI 54311-4247 | 2007-03-08 |
| 1790816874 | Paula S. Crum | Dentist | 2581 Development Dr, Suite 204, Green Bay, WI 54311-4247 | 2007-03-08 |
| 1720123201 | Nicolas Fawzi Abujamra | Dentist | 2581 Development Dr, Suite 102, Green Bay, WI 54311-4247 | 2007-02-21 |
| 1174545982 | Steve A Zent | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-24 |
| 1760403570 | Michael J Schuh | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-21 |
| 1124049820 | Gregory W Welsh | Dentist | 2581 Development Dr, Green Bay, WI 54311-4247 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083899496 | Jeffrey Scott Ryther | Dentist | 1901 S Webster Ave, Suite 8, Green Bay, WI 54301-2281 | 2008-01-03 |
| 1083624621 | David Charles Anderson | Dentist | 430 Main St, Green Bay, WI 54301-5115 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679132815 | Wisconsin Oral Surgery LLC | Dentist | 10401 W Lincoln Ave Ste 101, West Allis, WI 53227-1255 | 2019-06-11 |
| 1871949107 | Alicia Estrella | Dentist | 406 Science Dr Ste 402, Madison, WI 53711-1068 | 2016-05-05 |
| 1699159319 | Charles Alan Kass | Dentist | 12720 W. North Avenue, Brookfield, WI 53005 | 2015-07-13 |
| 1194066167 | Christman Dental, Ltd | Dentist | 425 W Prairie View Road, Chippewa Falls, WI 54729-3389 | 2013-03-15 |
| 1033482500 | Rupal Suresh Vasani | Dentist | 2501 County Highway I, Chippewa Falls, WI 54729-1422 | 2012-02-14 |
| 1659654127 | Eon Clinics | Dentist | 20700 Swenson Dr, Waukesha, WI 53186-0900 | 2011-09-21 |
| 1053641126 | Jerry W Walker | Dentist | 6060 N Bay Ridge Ave, Milwaukee, WI 53217-4663 | 2010-01-12 |
| 1972742039 | Dean W Crow | Dentist | 2314 N. Grandview Blvd, Suite 206, Waukesha, WI 53188-1675 | 2009-02-13 |
| 1912143439 | David Joseph Kachelmeyer | Dentist | 1331 W Birch Ct, Milwaukee, WI 53209-5118 | 2009-01-06 |
| 1457531675 | Todd Russell Krueger | Dentist | 8531 W Lincoln Ave, West Allis, WI 53227-2542 | 2007-11-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.