BAY ORAL SURGERY & IMPLANT CENTER LTD NPI 1427270776

NPI Information

BAY ORAL SURGERY & IMPLANT CENTER, LTD is an oral and maxillofacial surgery dentist in Green Bay, WI. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BAY ORAL SURGERY & IMPLANT CENTER, LTD NPI is 1427270776. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Bay Oral & Maxillofacial Surgery, Ltd.

The provider's business location address is:

2353 S RIDGE ROAD
GREEN BAY, WI
ZIP 54304
Phone: (920) 499-0471
Fax: (920) 499-8312

The provider's authorized official is Ellen M Greene .
The authorized official title is Practice Adminstrat and has the following contact phone number (920) 499-0471.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 12/16/2014.

Taxonomy Codes

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Other Identifiers

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