Oak Grove Dental Associates, Llc in Green Bay - General Practice
Oak Grove Dental Associates, Llc - NPI 1164549754
Oak Grove Dental Associates, Llc is a General Practice in Green Bay, Wisconsin. Oak Grove Dental Associates, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Oak Grove Dental Associates, Llc is 1164549754. The last update date is 2020-08-22.
Oak Grove Dental Associates, Llc's current location address is 1640 Main St, Green Bay, Wisconsin. You can contact this provider via phone number 9204686371 and fax number 9204686365. The mailing address for Oak Grove Dental Associates, Llc is 1640 Main St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oak Grove Dental Associates, Llc |
|---|---|
| Address | 1640 Main St, Green Bay, Wisconsin |
| Phone Number | 9204686371 |
| Fax Number | 9204686365 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Greatens Robert Scott |
| Credentials | D.D.S. |
| Telephone Number | 9204686371 |
NPI Number Detail
| NPI Number | 1164549754 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1640 Main St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543022639 |
| Phone Number | 9204686371 |
| Fax Number | 9204686365 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: 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. |
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What is the unique 10-digit identification code issued to Oak Grove Dental Associates, Llc by the Centers for Medicare & Medicaid Services?
The Oak Grove Dental Associates, Llc has been assigned the NPI (National Provider Identifier) 1164549754 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Oak Grove Dental Associates, Llc's facilities are geographically located?
The facilities of Oak Grove Dental Associates, Llc are physically situated at the following location: 1640 Main St, Green Bay, WI, 543022639.
What is the Oak Grove Dental Associates, Llc's area of specialization and corresponding taxonomy classification?
The Oak Grove Dental Associates, Llc's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1164549754 to Oak Grove Dental Associates, Llc?
The Oak Grove Dental Associates, Llc received its 1164549754 assignment from the Centers for Medicare & Medicaid Services on 2007-03-26.
When was the information regarding Oak Grove Dental Associates, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Oak Grove Dental Associates, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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