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GREENBAYCTD LLC
NPI 1023699576
Dentist in Green Bay, WI

Active since April 16, 2021
2280 HOLMGREN WAY, GREEN BAY, WI 54304(920) 489-3491 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greenbayctd Llc NPPES

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

GREENBAYCTD LLC (NPI 1023699576) is a healthcare organization registered as a dentist in Green Bay, Wisconsin and active in the NPI registry since April 2021. The organization lists Mitch Weiland, Assistant Controller, as its authorized official.

NPPES Registry Identity

NPI1023699576
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameGREENBAYCTD LLC
Location Address2280 HOLMGREN WAYGreen Bay, WI 54304-4710
Mailing Address8025 Excelsior DrMadison, WI 53717-1900
Phone(920) 489-3491
Organization SubpartNo
Authorized OfficialMitch WeilandAssistant Controller · (608) 343-0818
Enumeration DateApril 16, 2021
NPPES CertifiedApril 16, 2021
✔ NPI 1023699576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2280 HOLMGREN WAY, Green Bay, WI 54304
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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

Other Providers at the Same Location NPPES

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

DR. SCOTT NICHOLAS QUANDT
Dentist (General Practice)
2280 HOLMGREN WAY
GREEN BAY, WI 54304
Brown County (920) 499-6466

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 Greenbayctd LLC's NPI number?

The NPI number for Greenbayctd LLC is 1023699576. It was assigned to this organization in the NPPES registry on April 16, 2021.

Where is Greenbayctd LLC located?

Greenbayctd LLC is located at 2280 Holmgren Way, Green Bay, WI 54304. The listed phone number is (920) 489-3491.

What is Greenbayctd LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Greenbayctd LLC was last updated on April 16, 2021. 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.