NPI 1013124056

The Center for Dental Excellence, S.C.

Organisation General Practice Dentistry Green Bay, WI

Practice location

Address: 410 Security Blvd, Green Bay, WI 54313-9705
Phone: (920) 662-1440
Fax: (920) 662-1443

Authorised official

Name: David J. Brusky
Title: President
Phone: (920) 662-1440

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 4498-015 (WI)

Other Dentist providers in Wisconsin →

Registry record

NPI: 1013124056
Entity type: Organization
NPI issued: 17 May 2007
Record last updated: 24 Mar 2009

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.