| Forwarddental Green Bay Development Drive | |
|
2593 Development Dr Ste 280 Green Bay WI 54311-5999 | |
| (262) 646-8333 | |
| (262) 646-2410 |
| Full Name | Forwarddental Green Bay Development Drive |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2593 Development Dr Ste 280, Green Bay, Wisconsin |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forwarddental Green Bay Development Drive 2593 Development Dr Ste 280 Green Bay WI 54311-5999 Ph: (262) 646-8333 | Forwarddental Green Bay Development Drive 2593 Development Dr Ste 280 Green Bay WI 54311-5999 Ph: (262) 646-8333 |
| NPI Number | 1497403927 |
|---|---|
| Provider Enumeration Date | 03/14/2022 |
| Last Update Date | 04/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497403927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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