THE CENTER FOR DENTAL EXCELLENCE, S.C.
NPI 1013124056
Dentist - General Practice in Green Bay, WI

Active since May 17, 2007
410 SECURITY BLVD, GREEN BAY, WI 54313(920) 662-1440(920) 662-1443 Get Directions Write a Review

NPPES record last updated: March 24, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Center For Dental Excellence, S.c. NPPES

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

THE CENTER FOR DENTAL EXCELLENCE, S.C. (NPI 1013124056) is a healthcare organization registered as a general practice in Green Bay, Wisconsin and active in the NPI registry since May 2007. The organization lists David J. Brusky, President, as its authorized official.

NPPES Registry Identity

NPI1013124056
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTHE CENTER FOR DENTAL EXCELLENCE, S.C.
Location Address410 SECURITY BLVDGreen Bay, WI 54313-9705
Mailing Address410 Security BlvdGreen Bay, WI 54313-9705 · (920) 662-1440 · Fax (920) 662-1443
Fax(920) 662-1443
Organization SubpartNo
Authorized OfficialDavid J. BruskyPresident · (920) 662-1440
Enumeration DateMay 17, 2007
Last NPPES UpdateMarch 24, 2009
NPI 1013124056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 4498-015
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.

410 SECURITY BLVD, Green Bay, WI 54313

Other Identifiers 1

Medicaid33797600WI

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
410 SECURITY BLVD
GREEN BAY, WI 54313
Dentist
410 SECURITY BLVD
GREEN BAY, WI 54313
Clinic/Center (Dental)
410 SECURITY BLVD
GREEN BAY, WI 54313

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 The Center For Dental Excellence, S.C.'s NPI number?

The NPI number for The Center For Dental Excellence, S.C. is 1013124056. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is The Center For Dental Excellence, S.C. located?

The Center For Dental Excellence, S.C. is located at 410 Security Blvd, Green Bay, WI 54313. The listed phone number is (920) 662-1440.

What is The Center For Dental Excellence, S.C.'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 The Center For Dental Excellence, S.C. was last updated on March 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.