Organization · Type 2 NPI

Kids Dental Experts Partnership, LLC

Pediatric Dentistry · Green Bay, WI

NPI number 1730397233 Active

Practice location

125 Siegler Street
Green Bay, WI 54303

Fax (920) 592-8953

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	5182-015 (WI)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Another provider at this address

Eric James Van Miller, DDS DIPLOMATE OF THEPediatric Dentistry Green Bay, WI NPI 1245302132

NPI record

NPI: 1730397233
Entity type: Organization (Type 2)
Issued: May 18, 2007
Last updated: Jul 19, 2024
Status: Active

Other names

<unavail>
Kids Dental Experts · doing business as
Park-West Pediatric Dental Associates · former legal business name
Park-West Pediatric Dental Associates · former legal business name

Authorized official

Dr. Eric J. Van Miller, DDS
Owner Doctor
(920) 592-8940

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 1730397233

Kids Dental Experts Partnership, LLC's National Provider Identifier is 1730397233, issued on May 18, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Green Bay, WI. The record was last updated on Jul 19, 2024.