| Green Bay Dental Professionals Llc | |
|
1551 Park Pl Ste 300 Green Bay WI 54304-1969 | |
| (920) 345-5150 | |
| Not Available |
| Full Name | Green Bay Dental Professionals Llc |
|---|---|
| Speciality | Dentist |
| Location | 1551 Park Pl Ste 300, Green Bay, Wisconsin |
| Authorized Official Name and Position | Mitch Weiland (ASSISTANT CONTROLLER) |
| Authorized Official Contact | 6083430818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Bay Dental Professionals Llc 8025 Excelsior Dr Madison WI 53717-1900 Ph: (608) 343-0818 | Green Bay Dental Professionals Llc 1551 Park Pl Ste 300 Green Bay WI 54304-1969 Ph: (920) 345-5150 |
| NPI Number | 1790442838 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790442838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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