Individual provider · Type 1 NPI

Krista S. Primley

Oral and Maxillofacial Surgery (Dentist) · Green Bay, WI

NPI number 1073013025 Active

Practice location

2581 Development Dr
Green Bay, WI 54311-4247

Call (920) 347-0400 Map

Fax (920) 347-0868

Mailing address

1035 Kepler Dr
Green Bay, WI 54311-8320

Other practice locations

  • 200 Hawkins Dr, Iowa City, IA 52242-1009 · (319) 356-7339
  • 636 N 12th Ave, Sturgeon Bay, WI 54235-1249 · (920) 743-2001
  • 930 Maritime Dr, Manitowoc, WI 54220-2961 · (920) 682-9121
  • 8515 Eagle Point Blvd Ste 200, Lake Elmo, MN 55042-8624 · (651) 523-9950
  • 515 Delaware St SE, Minneapolis, MN 55455 · (612) 624-8600

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112XD14292 (MN)
Student in an Organized Health Care Education/Training Program 390200000XRES-30533 (IA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X6001396 (WI)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

12 other providers at this address

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About NPI 1073013025

Krista S. Primley's National Provider Identifier is 1073013025, issued on Feb 16, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Green Bay, WI. The record was last updated on May 19, 2026.