Organization · Type 2 NPI
Baycare Clinic, LLP
Oral and Maxillofacial Surgery (Dentist) · Sturgeon Bay, WI
NPI number
1124516893
Active
Practice location
636 N 12th Ave
Sturgeon Bay, WI 54235-1249
Mailing address
PO Box 28900
Green Bay, WI 54324-0900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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.
About NPI 1124516893
Baycare Clinic, LLP's National Provider Identifier is 1124516893, issued on Apr 27, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Sturgeon Bay, WI. The record was last updated on Aug 27, 2026.