BAYLAKES CENTER FOR COMPLEX DENTISTRY SC
NPI 1083705495
Dentist - Prosthodontics in Green Bay, WI

Active since September 28, 2006
138 SIEGLER ST, GREEN BAY, WI 54303(920) 499-9958(920) 499-1492 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baylakes Center For Complex Dentistry Sc NPPES

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

BAYLAKES CENTER FOR COMPLEX DENTISTRY SC (NPI 1083705495) is a healthcare organization registered as a prosthodontics in Green Bay, Wisconsin and active in the NPI registry since September 2006. The organization lists Joseph William Lasnoski, President Prosthodontist, as its authorized official.

NPPES Registry Identity

NPI1083705495
Entity TypeOrganization
Primary Taxonomy1223P0700X
Legal Business NameBAYLAKES CENTER FOR COMPLEX DENTISTRY SC
Location Address138 SIEGLER STGreen Bay, WI 54303
Mailing Address138 Siegler StGreen Bay, WI 54303 · (920) 499-9958 · Fax (920) 499-1492
Fax(920) 499-1492
Organization SubpartNo
Authorized OfficialJoseph William LasnoskiPresident Prosthodontist · (920) 499-9958
Enumeration DateSeptember 28, 2006
Last NPPES UpdateApril 22, 2014
NPI 1083705495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
Licenses Licensed in WI · 5001473015 Licensed in MI · 2901015553
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Also ListedDentistTaxonomy 122300000X · License 2901015553 (MI)
138 SIEGLER ST, Green Bay, WI 54303

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 MULTIPLE 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.

Dentist (Prosthodontics)
138 SIEGLER ST
GREEN BAY, WI 54303

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 Baylakes Center For Complex Dentistry Sc's NPI number?

The NPI number for Baylakes Center For Complex Dentistry Sc is 1083705495. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Baylakes Center For Complex Dentistry Sc located?

Baylakes Center For Complex Dentistry Sc is located at 138 Siegler St, Green Bay, WI 54303. The listed phone number is (920) 499-9958.

What is Baylakes Center For Complex Dentistry Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Baylakes Center For Complex Dentistry Sc was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.