THE CENTER FOR DENTAL EXCELLENCE S.C. NPI 1013124056

NPI Information

THE CENTER FOR DENTAL EXCELLENCE, S.C. is a general practice dentist in Green Bay, WI. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. THE CENTER FOR DENTAL EXCELLENCE, S.C. NPI is 1013124056. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 SECURITY BLVD
GREEN BAY, WI
ZIP 54313-705
Phone: (920) 662-1440
Fax: (920) 662-1443

The provider's authorized official is David J. Brusky .
The authorized official title is President and has the following contact phone number (920) 662-1440.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 3/24/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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