Organization · Type 2 NPI

Wisconsin Dental Group, S.c.

General Practice Dentistry · Green Bay, WI

NPI number 1962532309 Active

Practice location

1241 Lombardi Access Rd Ste F
Green Bay, WI 54304-4059

Fax (920) 498-2146

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None 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.

Another provider at this address

Aramar Cuevas TellezGeneral Practice Dentistry Green Bay, WI NPI 1609571975

Other general practice dentistry providers in Green Bay

See all in Green Bay →

NPI record

NPI: 1962532309
Entity type: Organization (Type 2)
Issued: Mar 6, 2007
Last updated: Mar 14, 2022
Status: Active
Subpart: Yes of Wisconsin Dental Group, S.c.

Other names

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Forwarddental 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.

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About NPI 1962532309

Wisconsin Dental Group, S.c.'s National Provider Identifier is 1962532309, issued on Mar 6, 2007. 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 Mar 14, 2022.