Bay Dental Associates Of Green Bay, Inc.
LBN: Bay Dental Associates Of Green Bay, Inc.
Bay Dental Associates Of Green Bay, Inc. is an health care organization with primary practice located at 2460 Finger Rd , Green Bay WI 54302-4210. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Bay Dental Associates Of Green Bay, Inc. can be contacted via phone (920) 469-8484, or through Nockerts, Thomas John via phone (920) 469-8484.
Contact Information
Primary practice address
2460 Finger Rd
Green Bay WI 54302-4210
Phone: (920) 469-8484
Fax: (920) 469-8486
Website:
Authorized official contact:
Name: Nockerts, Thomas John Doctor of Dental Surgery (DDS)
Phone: (920) 469-8484
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X |
Profile Details
| NPI number | 1720198898 |
|---|---|
| LBN Legal business name | Bay Dental Associates Of Green Bay, Inc. |
| DBA Doing business as | |
| Authorized official | Nockerts, Thomas John Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720198898 | NPPES |
| Wisconsin | MEDICAID | 38361000 |
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