MEDICAL ARTS COMPLEX DENTAL CENTER S.C. NPI 1376626325

NPI Information

MEDICAL ARTS COMPLEX DENTAL CENTER, 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. MEDICAL ARTS COMPLEX DENTAL CENTER, S.C. NPI is 1376626325. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

704 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301-528
Phone: (920) 435-6894
Fax: (920) 435-7676

The provider's authorized official is Gary C. Noble .
The authorized official title is Vice-president and has the following contact phone number (920) 435-6894.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 8/22/2020.

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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