Organization · Type 2 NPI

Deerwood Orthodontics, LLC

Orthodontics and Dentofacial Orthopedics Dentistry · Green Bay, WI

NPI number 1689324493 Active

Practice location

2476 S Oneida St Ste 150
Green Bay, WI 54304-5292

Fax (920) 593-9398

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

Another provider at this address

Advanced Dental Specialists, LLCGeneral Practice Dentistry Green Bay, WI NPI 1558001180

Other orthodontics and dentofacial orthopedics dentistry providers in Green Bay

See all in Green Bay →

NPI record

NPI: 1689324493
Entity type: Organization (Type 2)
Issued: Mar 25, 2022
Last updated: Mar 25, 2022
Status: Active
Subpart: Yes of Deerwood Orthodontics, LLC

Other names

Deerwood Orthodontics Green Bay · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1689324493

Deerwood Orthodontics, LLC's National Provider Identifier is 1689324493, issued on Mar 25, 2022. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Green Bay, WI. The record was last updated on Mar 25, 2022.