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BAY PARK SMILES LLC
NPI 1104543065
Dentist - General Practice in Green Bay, WI

Active since October 21, 2022
1052 BEL AIRE CT, GREEN BAY, WI 54304(920) 499-2121 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bay Park Smiles Llc NPPES

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

BAY PARK SMILES LLC (NPI 1104543065) is a healthcare organization registered as a general practice in Green Bay, Wisconsin and active in the NPI registry since October 2022. The organization lists Aaron Bushong, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1104543065
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBAY PARK SMILES LLC
Location Address1052 BEL AIRE CTGreen Bay, WI 54304-5015
Mailing Address1052 Bel Aire CtGreen Bay, WI 54304-5015 · (920) 499-2121
Phone(920) 499-2121
Organization SubpartNo
Authorized OfficialAaron BushongDentist/owner · (715) 573-3546
Enumeration DateOctober 21, 2022
NPPES CertifiedOctober 21, 2022
✔ NPI 1104543065 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.
1052 BEL AIRE CT, 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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

SLEEP HEALTH WISCONSIN LLC
Durable Medical Equipment & Medical Supplies
1052 BEL AIRE CT
GREEN BAY, WI 54304
Brown County (920) 499-2121
MARK ANDREW BRODHAGEN DDS
Dentist (General Practice)
1052 BEL AIRE CT
GREEN BAY, WI 54304
Brown County (920) 499-2121
MICHAEL A. BROSSMAN DMD
Dentist
1052 BEL AIRE CT
GREEN BAY, WI 54304
Brown County (920) 499-2121
DR. ROBERT JOHN GOELZ D.D.S.
Dentist (General Practice)
1052 BEL AIRE CT
GREEN BAY, WI 54304
Brown County (920) 499-8711
ANNE MARIE CZYZ-KLEMENS DMD
Dentist (General Practice)
1052 BEL AIRE CT
GREEN BAY, WI 54304
Brown County (920) 499-2121

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 Bay Park Smiles LLC's NPI number?

The NPI number for Bay Park Smiles LLC is 1104543065. It was assigned to this organization in the NPPES registry on October 21, 2022.

Where is Bay Park Smiles LLC located?

Bay Park Smiles LLC is located at 1052 Bel Aire Ct, Green Bay, WI 54304. The listed phone number is (920) 499-2121.

What is Bay Park Smiles LLC'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 Bay Park Smiles LLC was last updated on October 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.