NPI 1063622645

Echo Ridge Dental Clinic

Organisation General Practice Dentistry Green Bay, WI

Practice location

Address: 2140 S. Ridge Rd., Green Bay, WI 54304
Phone: (920) 494-7464
Fax: (920) 494-7919

Authorised official

Name: Raymond L Schneider
Title: Owner-Dentist
Phone: 92049474646

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1063622645
Entity type: Organization
NPI issued: 23 May 2007
Record last updated: 22 Aug 2020

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.