GREEN BAY FAMILY DENTAL LLC (NPI# 1851844161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851844161 |
Entity Type | Organization |
Organization Name | GREEN BAY FAMILY DENTAL LLC |
Practice Address |
2609 Development Dr. Green Bay WI 54311 |
Practice Telephone | 9204322961 |
Mailing Telephone | 9204322961 |
Enumeration Date | 2016-08-03 |
Last Update Date | 2016-08-03 |
Authorized Official Name | DR. HEIDI EGGERS-ULVE (MEMBER) |
Authorized Official Telephone | 9204322961 |
Authorized Official Credential | DDS, MS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | 4264 | WI | Dental Providers |
Street Address |
2609 DEVELOPMENT DR. |
City | GREEN BAY |
State | WI |
Zip Code | 54311 |
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 |
1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
1225447436 | Quirt Family Dentistry, Sc | Dentist | 2014 Lime Kiln Rd, Suite 300, Bellevue, WI 54311 | 2014-08-13 |
Find all providers in zip 54311 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184240236 | Casey Nan Messer | Dentist | 2805 Libal St Ste B, Green Bay, WI 54301-2888 | 2020-06-24 |
1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
1275013641 | David Alan Pass | Dentist | 844 Willard Dr # A, Green Bay, WI 54304-5265 | 2018-08-15 |
1831691872 | Melanie Hammerbeck | Dentist | 1756 Cardinal Ln, Green Bay, WI 54313 | 2018-03-06 |
1114453024 | Juan Sebastian Munoz | Dentist | 709 S Oneida St Ste 6, Green Bay, WI 54304-2475 | 2017-05-11 |
1043663321 | Thuy Nguyen | Dentist | 331 N Broadway, Green Bay, WI 54303-2701 | 2016-07-21 |
1629448170 | Simerjeet Kaur | Dentist | 1931 Main St, Green Bay, WI 54302-3920 | 2015-09-28 |
1811307408 | Adam Pasono | Dentist | 2313 S Webster Ave, Green Bay, WI 54301-2159 | 2014-05-05 |
1972764553 | S. Patrick Maraka | Dentist | 2830 Curry Ct Ste 1, Green Bay, WI 54311-4877 | 2008-06-17 |
1962619957 | David J. Brusky | Dentist | 410 Security Blvd, Green Bay, WI 54313-9705 | 2007-05-17 |
Find all providers in GREEN BAY |
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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.