Individual provider · Type 1 NPI

Kevin J. Wilke, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Green Bay, WI

NPI number 1922376706 Active

Practice location

111 Broadview Dr
Green Bay, WI 54301-2805

Call (920) 347-4560 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X4522-015 (WI)

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…

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About NPI 1922376706

Kevin J. Wilke, DDS, MS's National Provider Identifier is 1922376706, issued on Dec 7, 2011. 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 Dec 7, 2011.