Individual provider · Type 1 NPI

Brian M. Thielen, DMD

General Practice Dentistry · Green Bay, WI

NPI number 1104972033 Active

Practice location

1543 Park Pl, Suite 300
Green Bay, WI 54304-1970

Call (920) 405-3600 Map

Fax (920) 405-9057

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X4725 (WI)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1104972033

Brian M. Thielen, DMD's National Provider Identifier is 1104972033, issued on Jan 25, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Green Bay, WI. The record was last updated on Jul 8, 2007.