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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BAYLAKES CENTER FOR COMPLEX DENTISTRY SC

Active Organization

BAYLAKES CENTER FOR COMPLEX DENTISTRY SC is a Pediatric Dentistry organization located in GREEN BAY, Wisconsin. NPI 1083705495 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · GREEN BAY, WI

Registration Details

NPI Number
1083705495
Provider Type
Organization
NPI Issued
Sep 28, 2006 (19.902379949024 yrs)
Last Updated
Apr 22, 2014
Licenses
2901015553 (MI)
2901015553 (MI)
5001473015 (WI)

Practice Information

Address
138 SIEGLER ST
GREEN BAY, WI, 54303
Browse WI providers · Browse ZIP 54303
Phone
9204999958
Fax
9204991492
Primary Specialty
Pediatric Dentistry
1223P0700X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Organizations in GREEN BAY, WI

Name NPI
NICOLAS ABUJAMRA DDS MS LTD 1841419587
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.