| Familia Dental | |
|
1931 Main St. Green Bay WI 54302-3920 | |
| (920) 499-2770 | |
| (920) 634-2733 |
| Full Name | Familia Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1931 Main St., Green Bay, Wisconsin |
| Authorized Official Name and Position | Brandon Alexander Taylor (CREDENTIALING & PAYER RELATIONS MAN) |
| Authorized Official Contact | 8474537396 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Familia Dental 2050 East Algonquin Road Suite 610 Schaumburg IL 60173-4166 Ph: (847) 453-7396 | Familia Dental 1931 Main St. Green Bay WI 54302-3920 Ph: (920) 499-2770 |
| NPI Number | 1194188706 |
|---|---|
| Provider Enumeration Date | 03/31/2016 |
| Last Update Date | 10/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194188706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Affordable Dentures & Implants - Green Bay, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800-c W. Mason Street, Green Bay, WI 54303 Phone: 920-499-7159 | |
The Center For Dental Excellence, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Security Blvd, Green Bay, WI 54313 Phone: 920-662-1440 Fax: 920-662-1443 | |
Greenbayctd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2280 Holmgren Way, Green Bay, WI 54304 Phone: 920-489-3491 | |
Echo Ridge Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2140 S. Ridge Rd., Green Bay, WI 54304 Phone: 920-494-7464 Fax: 920-494-7919 | |
Munoz Family And Cosmetic Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Security Blvd, Green Bay, WI 54313 Phone: 920-662-1440 | |
Howe Dental Room Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 S Monroe Ave, Green Bay, WI 54301 Phone: 920-448-7340 | |
Baylakes Center For Complex Dentistry Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Siegler St, Green Bay, WI 54303 Phone: 920-499-9958 Fax: 920-499-1492 |