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

DR. DARYL GRANT HOLDREDGE, DDS

Active Sole Proprietor

Dentist · GREEN BAY, WI

Registration Details

NPI Number
1619991916
Provider Type
Individual
Gender
Male
NPI Issued
Jul 27, 2006 (19.73589681544 yrs)
Last Updated
Jul 8, 2007
License
4401 (WI)
Sole Proprietor
Yes

Practice Information

Address
1231 S WEBSTER AVE
GREEN BAY, WI, 543013007
Browse WI providers · Browse ZIP 54301
Phone
9204377188
Primary Specialty
Dentist
122300000X

Other Dentist Providers in GREEN BAY, WI

Name Credential NPI
DR. CHRISTOPHER PATRICK LAWS DDS 1770532830
DR. DONALD S ZABROWSKI D.D.S. 1700803707
DR. STEVEN EDWARD KAMINSKI DDS 1205941960
DR. MARCUS JAMES VANDERLEEST DDS 1083722169
DR. DANNEL VERNON WIELGUS D.D.S. 1487755344
MARK GERARD RAWLSKY DDS 1639265622
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.