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

CHILDREN'S DENTAL CLINIC OF GREEN BAY, S.C.

Active Organization

CHILDREN'S DENTAL CLINIC OF GREEN BAY, S.C. is a Pediatric Dentistry organization located in DE PERE, Wisconsin. NPI 1205905619 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · DE PERE, WI

Registration Details

NPI Number
1205905619
Provider Type
Organization
NPI Issued
Nov 7, 2006 (19.794714073593 yrs)
Last Updated
Jan 7, 2011
License
4176 (WI)

Practice Information

Address
534 REDBIRD CIR
DE PERE, WI, 541158785
Browse WI providers · Browse ZIP 54115
Phone
9203364002
Fax
9203364112
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Organizations in DE PERE, WI

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.