| Janssen Dental Clinic S C | |
|
2649 Development Dr Green Bay WI 54311-4240 | |
| (920) 983-8383 | |
| (920) 983-2862 |
| Full Name | Janssen Dental Clinic S C |
|---|---|
| Speciality | Dentist |
| Location | 2649 Development Dr, Green Bay, Wisconsin |
| Authorized Official Name and Position | Craig B Janssen (OWNER) |
| Authorized Official Contact | 9209838383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janssen Dental Clinic S C 2649 Development Dr Green Bay WI 54311-4240 Ph: (920) 983-8383 | Janssen Dental Clinic S C 2649 Development Dr Green Bay WI 54311-4240 Ph: (920) 983-8383 |
| NPI Number | 1295015444 |
|---|---|
| Provider Enumeration Date | 08/19/2011 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295015444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3485 (Wisconsin) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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