Individual provider · Type 1 NPI

Marcus James Vanderleest, DDS

Dentist · Green Bay, WI

NPI number 1083722169 Active

Practice location

2913 Glendale Ave
Green Bay, WI 54313

Fax (920) 434-3912

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X53064 (WI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1083722169

Marcus James Vanderleest, DDS's National Provider Identifier is 1083722169, issued on Aug 28, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Green Bay, WI. The record was last updated on Jul 8, 2007.