| Bay Dental Associates Of Green Bay, Inc. | |
|
2460 Finger Rd Green Bay WI 54302-4210 | |
| (920) 469-8484 | |
| (920) 469-8486 |
| Full Name | Bay Dental Associates Of Green Bay, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2460 Finger Rd, Green Bay, Wisconsin |
| Authorized Official Name and Position | Thomas John Nockerts (PRESIDENT) |
| Authorized Official Contact | 9204698484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Dental Associates Of Green Bay, Inc. 2460 Finger Rd Green Bay WI 54302-4210 Ph: (920) 469-8484 | Bay Dental Associates Of Green Bay, Inc. 2460 Finger Rd Green Bay WI 54302-4210 Ph: (920) 469-8484 |
| NPI Number | 1720198898 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720198898 | NPI | - | NPPES |
| 38361000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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