Individual provider · Type 1 NPI

Mason P. Wistenberg

General Practice Dentistry · Green Bay, WI

NPI number 1780278283 Active

Practice location

3071 Voyager Dr Ste B
Green Bay, WI 54311-8352

Call (920) 465-9887 Map

Mailing address

481 Saint Marys Blvd
Green Bay, WI 54301-2607

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1002699-15 (WI)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1780278283

Mason P. Wistenberg's National Provider Identifier is 1780278283, issued on Feb 24, 2021. 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 Aug 15, 2022.