HEALTHY TEETH GREEN BAY SC
NPI 1003837139
Dentist - General Practice in De Pere, WI

Q: What is Healthy Teeth Green Bay Sc's NPI number?

The NPI number for Healthy Teeth Green Bay Sc is 1003837139. It was assigned to this organization in the NPPES registry on July 22, 2006.

Q: What is Healthy Teeth Green Bay Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since July 22, 2006

2324 OLD PLANK RD, DE PERE, WI 54115(623) 434-9343(623) 321-6268 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Healthy Teeth Green Bay Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHY TEETH GREEN BAY SC (NPI 1003837139) is a healthcare organization registered as a general practice in De Pere, Wisconsin and active in the NPI registry since July 2006. The organization lists Rachel Razo, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1003837139

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameHEALTHY TEETH GREEN BAY SC

Location Address2324 OLD PLANK RDDe Pere, WI 54115-8618

Mailing Address1904 W Parkside Ln, Suite 201Phoenix, AZ 85027-1228 · (623) 434-9343 · Fax (623) 321-6268

Phone(623) 434-9343

Fax(623) 321-6268

Organization SubpartNo

Authorized OfficialRachel RazoCredentialing · (623) 434-9343

Enumeration DateJuly 22, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003837139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

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.

2324 OLD PLANK RD, De Pere, WI 54115

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthy Teeth Green Bay Sc's NPI number?

The NPI number for Healthy Teeth Green Bay Sc is 1003837139. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Healthy Teeth Green Bay Sc located?

Healthy Teeth Green Bay Sc is located at 2324 Old Plank Rd, De Pere, WI 54115. The listed phone number is (623) 434-9343.

What is Healthy Teeth Green Bay Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Healthy Teeth Green Bay Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.