NPI 1104543065

Bay Park Smiles LLC

Organisation General Practice Dentistry Green Bay, WI

Practice location

Address: 1052 Bel Aire CT, Green Bay, WI 54304-5015
Phone: (920) 499-2121

Authorised official

Name: Aaron Bushong
Title: Dentist/Owner
Phone: (715) 573-3546

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Wisconsin →

Registry record

NPI: 1104543065
Entity type: Organization
NPI issued: 21 Oct 2022
Record last updated: 21 Oct 2022

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.