DR. GEORGE H SMULLEN DDS
NPI 1104916576
Dentist - General Practice in Green Bay, WI

Q: What is George Smullen's NPI number?

The NPI number for George Smullen is 1104916576. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is George Smullen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for George Smullen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 13, 2006

2733 MANITOWOC RD, SUITE 2, GREEN BAY, WI 54311(920) 288-0200 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. George H Smullen Dds NPPES

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

DR. GEORGE H SMULLEN DDS (NPI 1104916576) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (5001193) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1104916576

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. GEORGE H SMULLENCredential: DDS

Location Address2733 MANITOWOC RD, SUITE 2Green Bay, WI 54311-4901

Mailing Address8281 Wahl LaneOconto Falls, WI 54154 · (920) 848-5551

Phone(920) 288-0200

Sole ProprietorYes

Enumeration DateOctober 13, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1104916576 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 · 5001193

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.

2733 MANITOWOC RD, Green Bay, WI 54311

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Other Identifiers 1

Medicaid33604100WI

Other Providers at the Same Location NPPES

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

CJ MEYER CHIROPRACTIC SC

Clinic/Center

2733 MANITOWOC RD, SUITE 10
GREEN BAY, WI 54311

Brown County (920) 465-1111

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 George Smullen's NPI number?

The NPI number for George Smullen is 1104916576. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is George Smullen located?

George Smullen practices at 2733 Manitowoc Rd Suite 2, Green Bay, WI 54311. The listed phone number is (920) 288-0200.

What is George Smullen'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 George Smullen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.