NPI 1003460551

Affordable Dentures & Implants - Green Bay, S.C.

Organisation Dentist Green Bay, WI

Practice location

Address: 1800-C W. Mason Street, Green Bay, WI 54303
Phone: (920) 499-7159

Authorised official

Name: John Petty
Title: Owner
Phone: (920) 499-7159

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1003460551
Entity type: Organization
NPI issued: 1 Aug 2019
Record last updated: 1 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.