Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MASON P WISTENBERG
ActiveMASON P WISTENBERG is a General Dentistry healthcare provider located in GREEN BAY, Wisconsin. NPI 1780278283 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GREEN BAY, WI
Registration Details
- NPI Number
- 1780278283
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 24, 2021 (5.487384096943 yrs)
- Last Updated
- Aug 15, 2022
- License
-
1002699-15 (WI)
Practice Information
- Address
-
3071 VOYAGER DR STE BGREEN BAY, WI, 543118352Browse WI providers · Browse ZIP 54311
- Phone
- 9204659887
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- Student (Health Education/Training)
Other General Dentistry Providers in GREEN BAY, WI
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL DAVID VANDER KELEN | D.D.S. | 1295738854 |
| ANNE MARIE CZYZ-KLEMENS | DMD | 1851377220 |
| MARK ANDREW BRODHAGEN | DDS | 1760468136 |
| RICHARD W. GESKER | D.M.D. | 1326026527 |
| DR. ROBERT HAROLD WAGNER | DDS | 1780638585 |
| DR. ROBERT JAMES CROWLEY | D.D.S. | 1427093640 |
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.