| Kirk Fishbaugh Dentistry, Ltd. | |
|
2625 Tulip Ln Green Bay WI 54313-6855 | |
| (920) 434-1515 | |
| Not Available |
| Full Name | Kirk Fishbaugh Dentistry, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2625 Tulip Ln, Green Bay, Wisconsin |
| Authorized Official Name and Position | Kirk Richard Fishbaugh (PRESIDENT) |
| Authorized Official Contact | 9204341515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirk Fishbaugh Dentistry, Ltd. 2625 Tulip Ln Green Bay WI 54313-6855 Ph: (920) 434-1515 | Kirk Fishbaugh Dentistry, Ltd. 2625 Tulip Ln Green Bay WI 54313-6855 Ph: (920) 434-1515 |
| NPI Number | 1134340938 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134340938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4714-015 (Wisconsin) | Primary |
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