GREEN BAY FAMILY DENTAL LLC


Address: 2609 Development Dr., Green Bay, WI 54311
Phone: 9204322961

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 4264 WI Dental Providers

Office Location

Street Address 2609 DEVELOPMENT DR.
City GREEN BAY
State WI
Zip Code 54311

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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City GREEN BAY
Zip Code 54311

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Dataset Information

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.

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