Individual provider · Type 1 NPI

John Edward Bissell, DDS, M.S.

Periodontics · Greenfield, WI

NPI number 1740266170 Active

Practice location

8405 W Forest Home Ave
Greenfield, WI 53228-3407

Fax (414) 425-7424

Mailing address

634 Riverwood Ln
West Bend, WI 53095-4395

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X07983 (IA)
Periodontics Primary 1223P0300X6021-015 (WI)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1740266170

John Edward Bissell, DDS, M.S.'s National Provider Identifier is 1740266170, issued on Dec 18, 2005. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Greenfield, WI. The record was last updated on Jul 8, 2007.